Active NPI
Heritage Dental Group USA, LLC
- General Practice Dentistry
- High Point, NC
National Provider Identifier
1487072815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8544
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5912707 | Medicaid | NC | |
| 5909675 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Heritage Dental Group USA LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Mobile, AL
- NPI 1801252473
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.