John D. Picklesimer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3708 Issued in NC

Practice address

4713 College Acres Dr
Wilmington, NC 28403-1725

Phone

(910) 799-2238

Fax

(910) 392-3414

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Picklesimer & Plasky, DDS

  • General Practice Dentistry
  • Wilmington, NC
  • NPI 1053709931
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497971659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4713 COLLEGE ACRES DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031725",
            "telephone_number": "910-799-2238",
            "fax_number": "910-392-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4713 COLLEGE ACRES DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031725",
            "telephone_number": "910-799-2238",
            "fax_number": "910-392-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKLESIMER",
        "first_name": "JOHN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physicians Choice Medical Equipment
• Panida Piboolnurak, MD
• Kelly Broadwater Pickell, MA, LPA, LPC, CEDS
• Tynisha Jeanette Pickett
• Picklesimer & Plasky, DDS
• Zoya Picklesimer, LCAS, LPC
• Caitlin Pieklo
• Devin Mary Paula Pierce, RBT
• Evan Hunter Pierce, DMD
• Karl Odbert Pierce Jr., DDS

• General Practice Dentistry in Wilmington, NC
• Providers in Wilmington, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.