NPIMap

Organization Active NPI

Sean E. Patrick, DDS, PA

  • Dentist
  • Matthews, NC
National Provider Identifier
1467619338
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7164 Issued in NC
Legal business name
SEAN E. PATRICK, DDS, PA
Practice address
2522 Plantation Center Dr
Suite a
Matthews, NC 28105-5298
Phone
(704) 845-9399
NPI assigned
May 19, 2008
Last updated
Oct 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sean Patrick, DDSNPI 1063568087
Title
Owner/President
Phone
(704) 845-9399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7164 NC Primary

Addresses

Primary practice location

2522 Plantation Center Dr
Suite a
Matthews, NC 28105-5298

Mailing address

2522 Plantation Center Dr
Suite a
Matthews, NC 28105-5298
Phone (704) 845-9399

National Provider Directory

National Provider Directory

Locations

2522 Plantation Center Dr
#A
Matthews, NC 28105
Phone (704) 845-9399

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1467619338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 PLANTATION CENTER DR",
            "address_2": "SUITE A",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055298",
            "telephone_number": "704-845-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 PLANTATION CENTER DR",
            "address_2": "SUITE A",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055298",
            "telephone_number": "704-845-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN E. PATRICK, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "704-845-9399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "7164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.