Organization Active NPI

Eric Ladimer DDS PLLC

  • Dental Clinic/Center
  • Raleigh, NC
National Provider Identifier
1467814780
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
10217 Issued in NC
Legal business name
ERIC LADIMER DDS PLLC
Practice address
4551 New Bern Ave
Raleigh, NC 27610-1551
Phone
(540) 315-2538
NPI assigned
Mar 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Authorized official

Name
Eric Ladimer, DDS
Title
President
Phone
(540) 315-2438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 10217 NC Primary

Addresses

Primary practice location

4551 New Bern Ave
Raleigh, NC 27610-1551

Mailing address

4551 New Bern Ave
Raleigh, NC 27610-1551

National Provider Directory

National Provider Directory

Locations

4551 New Bern Ave
Raleigh, NC 27610
Phone (919) 231-6024

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1467814780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4551 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101551",
            "telephone_number": "540-315-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC LADIMER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "LADIMER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-315-2438",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "10217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.