Individual provider Active NPI

Henry Joseph Pierpan III

  • General Practice Dentistry
  • Hampstead, NC
National Provider Identifier
1497969471
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6254 Issued in NC
Practice address
14564 US Hwy 17 North
Suite 10
Hampstead, NC 28443
Phone
(910) 270-1222
Fax
(910) 270-1333
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6254 NC Primary

Addresses

Primary practice location

14564 US Hwy 17 North
Suite 10
Hampstead, NC 28443

Mailing address

14544 US Hwy 17 North
Suite 10
Hampstead, NC 28443-1454
Phone (910) 270-1222

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
I20160324001816 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3577737899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6254NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry J Pierpan III, DDS, PA General Practice PastSince Jan 17, 2017 Accepting new patients
Monica M. Pierpan, DDS, PA General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497969471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14544 US HWY 17 NORTH",
            "address_2": "SUITE 10",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284431454",
            "telephone_number": "910-270-1222",
            "fax_number": "910-270-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14564 US HWY 17 NORTH",
            "address_2": "SUITE 10",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "28443",
            "telephone_number": "910-270-1222",
            "fax_number": "910-270-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERPAN",
        "first_name": "HENRY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, NC

Sources for this page

Verify at the official NPI Registry.