Organization Active NPI

Heritage Dental Group USA, LLC

  • General Practice Dentistry
  • High Point, NC
National Provider Identifier
1487072815
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8544 Issued in NC
Legal business name
HERITAGE DENTAL GROUP USA, LLC
Practice address
231 Plaza LN
Ste 101
High Point, NC 27263-2079
Phone
(336) 886-4161
NPI assigned
Apr 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Dr. Michael Floyd Battle, DDS
Title
Owner/Dentist
Phone
(336) 886-4161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8544 NC Primary

Addresses

Primary practice location

231 Plaza LN
Ste 101
High Point, NC 27263-2079

Mailing address

231 Plaza LN
Ste 101
High Point, NC 27263-2079
Phone (336) 886-4161

Other identifiers 2

IdentifierTypeStateIssuer
5912707MedicaidNC
5909675MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Heritage Dental Group USA LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1487072815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 PLAZA LN",
            "address_2": "STE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272632079",
            "telephone_number": "336-886-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 PLAZA LN",
            "address_2": "STE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272632079",
            "telephone_number": "336-886-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE DENTAL GROUP USA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "BATTLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "336-886-4161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5912707",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909675",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.