Linwood Long, D.D.S., M.S., D. ORT

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

4221 Issued in NC

Practice address

7820 Ballantyne Commons Pkwy Ste 200
Charlotte, NC 28277-2889

Phone

(704) 759-0000

Fax

(704) 759-9937

NPI assigned

Nov 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Long ,Laxer & Savage DDS, PLLC

  • Pediatric Dentistry
  • Charlotte, NC
  • NPI 1558360974
  NPD (past) Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548333818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 BALLANTYNE COMMONS PKWY STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772889",
            "telephone_number": "704-759-0000",
            "fax_number": "704-759-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 BALLANTYNE COMMONS PKWY STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772889",
            "telephone_number": "704-759-0000",
            "fax_number": "704-759-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "LINWOOD",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S., D. ORT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "4221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8995372",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Wood Long, MED
• Kelly Long
• Kristopher Long
• Krystal Long, MS, LCAS-A
• Kyndra Ginell Long, LAT, ATC
• Lisa Long, PSY.D.
• Lori Long
• Lysa Long, CNM
• Robert J Long, PTA
• Shelby Colet Long, BCBA

• Pediatric Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.