Active NPI
Uyiekpen Phillip Igbinadolor, D.M.D
- General Practice Dentistry
- Monroe, NC
National Provider Identifier
1659356830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7219
- Practice address
- 701 E Roosevelt Blvd
BLDG 800-B
Monroe, NC 28112-5170 - Phone
- (704) 238-8727
- Fax
- (704) 238-8757
- NPI assigned
- Dec 11, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7219 | NC | Primary |
Addresses
Primary practice location
701 E Roosevelt Blvd
BLDG 800-B
Monroe, NC 28112-5170
Mailing address
PO Box 488
Monroe, NC 28111-0488
Phone (704) 238-8727
Other practice location 1
2416 W Sugar Creek Rd
Charlotte, NC 28262-3168
Phone (704) 219-1291
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127MY | Other | NC | BCBSNC # |
| 89127MY | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7219 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U. Phillip Igbinadolor, DMD., P.a. | 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.
-
- General Practice Dentistry
- Charlotte, NC
- NPI 1528260049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1659356830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 488",
"city": "MONROE",
"state": "NC",
"postal_code": "281110488",
"telephone_number": "704-238-8727",
"fax_number": "704-238-8757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E ROOSEVELT BLVD",
"address_2": "BLDG 800-B",
"city": "MONROE",
"state": "NC",
"postal_code": "281125170",
"telephone_number": "704-238-8727",
"fax_number": "704-238-8757"
}
],
"practiceLocations": [
{
"address_1": "2416 W Sugar Creek Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282623168",
"country_code": "US",
"telephone_number": "704-219-1291",
"fax_number": "704-494-8483",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IGBINADOLOR",
"first_name": "UYIEKPEN",
"middle_name": "PHILLIP",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-11",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "7219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC #",
"identifier": "127MY",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89127MY",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.