Organization Active NPI

Michael C. Kretchmer DDS, Ms, PA I

  • Periodontics
  • Raleigh, NC
National Provider Identifier
1497641963
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
MICHAEL C. KRETCHMER DDS, MS, PA I
Practice address
10931 Strickland Rd Ste 101
Raleigh, NC 27615-2085
Phone
(919) 844-7140
NPI assigned
Jun 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Authorized official

Name
Michael Kretchmer, DDSNPI 1427171768
Title
Partner
Phone
(919) 844-7140

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

10931 Strickland Rd Ste 101
Raleigh, NC 27615-2085

Mailing address

10931 Strickland Rd Ste 101
Raleigh, NC 27615-2085
Phone (919) 844-7140

Other names 1

  • Tar Heel Periodontics and Implant Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

10931 Strickland Rd
Ste 101
Raleigh, NC 27615
Phone (919) 844-7140

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1497641963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10931 STRICKLAND RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152085",
            "telephone_number": "919-844-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10931 STRICKLAND RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152085",
            "telephone_number": "919-844-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C. KRETCHMER DDS, MS, PA I",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "KRETCHMER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "919-844-7140",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tar Heel Periodontics and Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 13, 2025; 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.