Organization Active NPI

Overton and Joh D.D.S., P.a.

Doing business as Columbus Smiles

  • General Practice Dentistry
  • Delco, NC
National Provider Identifier
1578801379
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NC8688 Issued in NC
Legal business name
OVERTON AND JOH D.D.S., P.A.
Doing business as
Columbus Smiles
Practice address
25805 Andrew Jackson Hwy E
Delco, NC 28436-8916
Phone
(910) 655-2180
NPI assigned
Jan 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Authorized official

Name
Dr. John A Overton, DDS
Title
President
Phone
(910) 619-1962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X NC8688 NC Primary

Addresses

Primary practice location

25805 Andrew Jackson Hwy E
Delco, NC 28436-8916

Mailing address

407 N Channel Dr
Wrightsville Beach, NC 28480-2725
Phone (910) 619-1962

Other names 1

  • Columbus Smiles Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1578801379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N CHANNEL DR",
            "city": "WRIGHTSVILLE BEACH",
            "state": "NC",
            "postal_code": "284802725",
            "telephone_number": "910-619-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25805 ANDREW JACKSON HWY E",
            "city": "DELCO",
            "state": "NC",
            "postal_code": "284368916",
            "telephone_number": "910-655-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERTON AND JOH D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "OVERTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-619-1962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC8688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbus Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delco, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.