NPIMap

Organization Active NPI

John Walsh DDS PA

Doing business as Dentistry of the Carolinas

  • General Practice Dentistry
  • Statesville, NC
National Provider Identifier
1528260767
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOHN WALSH DDS PA
Doing business as
Dentistry of the Carolinas
Practice address
730 Brookdale Dr
Statesville, NC 28677-3406
Phone
(704) 873-0996
Fax
(704) 873-1028
NPI assigned
Jun 1, 2007
Last updated
Jul 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Authorized official

Name
Jessica Johnston
Title
Operations Manager
Phone
(704) 522-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

730 Brookdale Dr
Statesville, NC 28677-3406

Mailing address

202 E Woodlawn Rd
Ste 114
Charlotte, NC 28217-2213
Phone (704) 522-1550

Other names 1

  • Dentistry of the Carolinas Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John Walsh DDS PA11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

730 Brookdale Dr
Statesville, NC 28677
Phone (704) 502-7536

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1528260767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E WOODLAWN RD",
            "address_2": "STE 114",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282172213",
            "telephone_number": "704-522-1550",
            "fax_number": "704-522-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 BROOKDALE DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773406",
            "telephone_number": "704-873-0996",
            "fax_number": "704-873-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN WALSH DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "704-522-1550"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry of the Carolinas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.