Active NPI
Thomas Champion Drew IV, DDS
- General Practice Dentistry
- Enfield, NC
National Provider Identifier
1467455444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5487
- Practice address
- 117 Glenview Rd
Enfield, NC 27823-1324 - Phone
- (252) 445-5998
- NPI assigned
- May 24, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5487 | NC | Primary |
Addresses
Primary practice location
117 Glenview Rd
Enfield, NC 27823-1324
Mailing address
PO Box 485
Enfield, NC 27823-0485
Phone (252) 445-5998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 899-2206 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150611003255 | NC | Order and Referring Only - Other (Non-Physician) | 0941521231 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5487 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas C Drew,IV,DDS,PA | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Enfield, NC
- NPI 1891901534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1467455444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 485",
"city": "ENFIELD",
"state": "NC",
"postal_code": "278230485",
"telephone_number": "252-445-5998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 GLENVIEW RD",
"city": "ENFIELD",
"state": "NC",
"postal_code": "278231324",
"telephone_number": "252-445-5998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREW",
"first_name": "THOMAS",
"middle_name": "CHAMPION",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "5487",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "899-2206",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Enfield, NC
- Carolina Behavioral Care
- Tiffany Davis
- Dixie Rest Home 1 (Woodhaven Rest Home 1)
- Dixie Rest Home 2 (Woodhaven Rest Home 2)
- Drugcare Pharmacy
- Eagle Peak LTC Group, LLC (Enfield Oaks Nursing and Rehabilitation Center)
- Emmanuel Christian Center, Inc. (House of Hope Group Home NC)
- Enfield Care, Inc. (Britthaven of Enfield)
- Extra Home Health Care, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.