Organization Active NPI

Rebecca N. Triplett, PLLC

Doing business as Trident Smile Studio

  • Dental Clinic/Center
  • Pineville, NC
National Provider Identifier
1609574938
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
REBECCA N. TRIPLETT, PLLC
Doing business as
Trident Smile Studio
Practice address
10215 McIntyre Ridge Road
Suite 104
Pineville, NC 28134
Phone
(704) 703-9076
Fax
(704) 833-3270
NPI assigned
Feb 16, 2023
Last updated
Feb 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Dr. Rebecca Neal Triplett, DMDNPI 1639539653
Title
Owner, Dentist
Phone
(704) 703-9076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

10215 McIntyre Ridge Road
Suite 104
Pineville, NC 28134

Mailing address

10215 McIntyre Ridge Road
Ste 104
Pineville, NC 28134
Phone (704) 703-9076

Other identifiers 1

IdentifierTypeStateIssuer
10416OtherNCNORTH CAROLINA STATE DENTAL BOARD

Other names 1

  • Trident Smile Studio Doing business as

National Provider Directory

National Provider Directory

Locations

10215 McIntyre Ridge Rd
Ste 104
Pineville, NC 28134
Phone (704) 703-9076

Practitioners & affiliated clinicians

Practitioners 1

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": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1609574938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 MCINTYRE RIDGE ROAD",
            "address_2": "STE 104",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "28134",
            "telephone_number": "704-703-9076",
            "fax_number": "704-833-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 MCINTYRE RIDGE ROAD",
            "address_2": "SUITE 104",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "28134",
            "telephone_number": "704-703-9076",
            "fax_number": "704-833-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA N. TRIPLETT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-11",
        "status": "A",
        "authorized_official_last_name": "TRIPLETT",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "704-703-9076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA STATE DENTAL BOARD",
            "identifier": "10416",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trident Smile Studio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trident Smile Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pineville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.