Individual provider Active NPI

Nataleigh Hitt Plage

  • General Practice Dentistry
  • Willard, NC
National Provider Identifier
1477902153
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10333 Issued in NC
Practice address
5531 Eleanor Roosevelt LN
Willard, NC 28478-6621
Phone
(910) 285-0400
Fax
(910) 567-5342
NPI assigned
Jun 3, 2016
Last updated
Jan 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10333 NC Primary

Addresses

Primary practice location

5531 Eleanor Roosevelt LN
Willard, NC 28478-6621

Mailing address

5531 Eleanor Roosevelt LN
Willard, NC 28478-6621
Phone (910) 285-0400

Other practice location 1

3331 Easy St
Dunn, NC 28334-7988
Phone (910) 567-6194

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: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211201002118 NC Practitioner - Dentist 3870888209 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10333NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri County Community Health Council Inc CurrentSince Aug 25, 2021 Accepting new patients
Tri County Community Health Council Inc Current Accepting new patients
Tri County Community Health Council Inc CurrentSince Aug 25, 2021 Accepting new patients

Locations

3331 Easy St
Dunn, NC 28334

5531 Eleanor Roosevelt Ln
Willard, NC 28478
Phone (910) 285-0400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1477902153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5531 ELEANOR ROOSEVELT LN",
            "city": "WILLARD",
            "state": "NC",
            "postal_code": "284786621",
            "telephone_number": "910-285-0400",
            "fax_number": "910-567-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5531 ELEANOR ROOSEVELT LN",
            "city": "WILLARD",
            "state": "NC",
            "postal_code": "284786621",
            "telephone_number": "910-285-0400",
            "fax_number": "910-567-5342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3331 Easy St",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283347988",
            "country_code": "US",
            "telephone_number": "910-567-6194",
            "fax_number": "910-567-5342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLAGE",
        "first_name": "NATALEIGH",
        "middle_name": "HITT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willard, NC

Sources for this page

Verify at the official NPI Registry.