Individual provider Active NPI

Samuel Cody Fielden, DMD

  • General Practice Dentistry
  • High Point, NC
National Provider Identifier
1609961580
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8250 Issued in NC
Practice address
115 Gatewood Ave
High Point, NC 27262-4944
Phone
(336) 889-2434
Fax
(336) 889-6016
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8250 NC Primary

Addresses

Primary practice location

115 Gatewood Ave
High Point, NC 27262-4944

Mailing address

1109 Greenway Dr
High Point, NC 27262-2844
Phone (336) 886-8071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 19, 2016 through Sep 19, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
S. Cody Fielden, DMD PLLC General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609961580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 GREENWAY DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272622844",
            "telephone_number": "336-886-8071",
            "fax_number": "336-889-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 GATEWOOD AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624944",
            "telephone_number": "336-889-2434",
            "fax_number": "336-889-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDEN",
        "first_name": "SAMUEL",
        "middle_name": "CODY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.