Active NPI
Peter I Son, DMD
- Dentist
- Asheboro, NC
National Provider Identifier
1528248317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8359
- Practice address
- 350 N Cox St Ste 18
Asheboro, NC 27203-5514 - Phone
- (336) 625-4216
- Fax
- (336) 629-9317
- NPI assigned
- Nov 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8359 | NC | Primary |
Addresses
Primary practice location
350 N Cox St Ste 18
Asheboro, NC 27203-5514
Mailing address
75403 Rowan
Chapel Hill, NC 27517-8577
Phone (919) 636-5145
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150730011717 | NC | Order and Referring Only - Dentist | 0244544518 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8359 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1528248317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75403 ROWAN",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275178577",
"telephone_number": "919-636-5145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 N COX ST STE 18",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272035514",
"telephone_number": "336-625-4216",
"fax_number": "336-629-9317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SON",
"first_name": "PETER",
"middle_name": "I",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-08",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "8359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Asheboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.