Organization Active NPI

Monroe Dental Clinic General Partnership

  • Dentist
  • Monroe, NC
National Provider Identifier
1508304650
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6451 Issued in NC
Legal business name
MONROE DENTAL CLINIC GENERAL PARTNERSHIP
Practice address
102 E Windsor Street
Monroe, NC 28112
Phone
(704) 292-1642
Fax
(704) 225-8291
NPI assigned
Feb 9, 2017
Organization subpart
Yes
Parent organization
LASSITER & ASSOCIATES, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Authorized official

Name
Dr. Mark David Lassiter, DDS
Title
Owner
Phone
(704) 292-1642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6451 NC Primary

Addresses

Primary practice location

102 E Windsor Street
Monroe, NC 28112

Mailing address

102 E Windsor Street
Monroe, NC 28112
Phone (704) 292-1642

Other names 1

  • Norwood Dental Care Doing business as

National Provider Directory

National Provider Directory
Part of
Norwood Lassiter and Associates

Locations

102 E Windsor St
Monroe, NC 28112
Phone (704) 292-1642

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1508304650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E WINDSOR STREET",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "28112",
            "telephone_number": "704-292-1642",
            "fax_number": "704-225-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E WINDSOR STREET",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "28112",
            "telephone_number": "704-292-1642",
            "fax_number": "704-225-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE DENTAL CLINIC GENERAL PARTNERSHIP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LASSITER & ASSOCIATES, PLLC",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "LASSITER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-292-1642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "6451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norwood Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.