Organization Active NPI

Jeffrey W. Lineberry, DDS, PLLC

  • General Practice Dentistry
  • Denver, NC
National Provider Identifier
1528278140
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7148 Issued in NC
Legal business name
JEFFREY W. LINEBERRY, DDS, PLLC
Practice address
2226 N Highway 16
Denver, NC 28037-8254
Phone
(704) 489-9100
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Authorized official

Name
Dr. Jeffrey W Lineberry, D.D.S.
Title
Dentist
Phone
(704) 489-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7148 NC Primary

Addresses

Primary practice location

2226 N Highway 16
Denver, NC 28037-8254

Mailing address

2226 N Highway 16
Denver, NC 28037-8254
Phone (704) 489-9100

Other identifiers 1

IdentifierTypeStateIssuer
89 9015NMedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1528278140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 N HIGHWAY 16",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378254",
            "telephone_number": "704-489-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 N HIGHWAY 16",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378254",
            "telephone_number": "704-489-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY W. LINEBERRY, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "LINEBERRY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "704-489-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89 9015N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.