NPIMap

Organization Active NPI

Ecu Pediatric Dental Clinic

  • Pediatric Dentistry
  • Greenville, NC
National Provider Identifier
1659536522
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
0066 Issued in NC
Legal business name
ECU PEDIATRIC DENTAL CLINIC
Practice address
2150 Herbert CT
Greenville, NC 27834-3736
Phone
(252) 744-3258
Fax
(252) 744-3194
NPI assigned
Jul 21, 2008
Last updated
Jan 16, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
EAST CAROLINA UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Authorized official

Name
Dr. Nicholas Benson, M.D.NPI 1609868389
Title
Vice Dean
Phone
(252) 744-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0066 NC
Pediatric Dentistry 1223P0221X 0066 NC Primary
Periodontics 1223P0300X 0066 NC

Addresses

Primary practice location

2150 Herbert CT
Greenville, NC 27834-3736

Mailing address

PO Box 751069
Charlotte, NC 28275-1069
Phone (252) 744-3520

National Provider Directory

National Provider Directory
Tax ID family
East Carolina University64 organizations share this tax ID, including this one
Part of
East Carolina University

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 5

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": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1659536522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751069",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751069",
            "telephone_number": "252-744-3520",
            "fax_number": "252-744-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 HERBERT CT",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343736",
            "telephone_number": "252-744-3258",
            "fax_number": "252-744-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECU PEDIATRIC DENTAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST CAROLINA UNIVERSITY",
        "enumeration_date": "2008-07-21",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "VICE DEAN",
        "authorized_official_telephone_number": "252-744-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "0066",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "0066",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "0066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.