Organization Active NPI

Van Scoyoc Periodontics & Implant Center for Oral Health

  • Dental Clinic/Center
  • Southern Pines, NC
National Provider Identifier
1508747429
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
VAN SCOYOC PERIODONTICS & IMPLANT CENTER FOR ORAL HEALTH
Practice address
240 Davis St Unit a
Southern Pines, NC 28387-3007
Phone
(910) 692-6270
NPI assigned
Sep 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Casey Castle
Title
Director of Payor Contracts
Phone
(912) 732-1504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

240 Davis St Unit a
Southern Pines, NC 28387-3007

Mailing address

240 Davis St Unit a
Southern Pines, NC 28387-3007

National Provider Directory

National Provider Directory

Locations

240 Davis St
Unit A
Southern Pines, NC 28387
Phone (910) 692-6270

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1508747429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 DAVIS ST UNIT A",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283873007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 DAVIS ST UNIT A",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283873007",
            "telephone_number": "910-692-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN SCOYOC PERIODONTICS & IMPLANT CENTER FOR ORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "DIRECTOR OF PAYOR CONTRACTS",
        "authorized_official_telephone_number": "912-732-1504"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

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