NPIMap

Organization Active NPI

F.a.Booth DDS,Ms,PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fayetteville, NC
National Provider Identifier
1508047804
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3650 Issued in NC
Legal business name
F.A.BOOTH DDS,MS,PA
Practice address
222 Fairway Dr
Fayetteville, NC 28305-5512
Phone
(910) 484-8191
Fax
(910) 484-0502
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Frederick A Booth, DDSNPI 1144254632
Title
Orthodontist
Phone
(910) 484-8191

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 3650 NC Primary

Addresses

Primary practice location

222 Fairway Dr
Fayetteville, NC 28305-5512

Mailing address

222 Fairway Dr
Fayetteville, NC 28305-5512
Phone (910) 484-8191

Other names 1

  • STOUT&BOOTH ORTHODONTICS Doing business as

National Provider Directory

National Provider Directory

Locations

222 Fairway Dr
Fayetteville, NC 28305
Phone (910) 484-2662

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": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1508047804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 FAIRWAY DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055512",
            "telephone_number": "910-484-8191",
            "fax_number": "910-484-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 FAIRWAY DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055512",
            "telephone_number": "910-484-8191",
            "fax_number": "910-484-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F.A.BOOTH DDS,MS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "910-484-8191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "3650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STOUT&BOOTH ORTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.