Organization Active NPI

M & M Lineberger DDS Ms PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Charlotte, NC
National Provider Identifier
1659724904
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
M & M LINEBERGER DDS MS PA
Practice address
347 N. Caswell
Charlotte, NC 29401
Phone
(704) 892-3300
Fax
(704) 892-3317
NPI assigned
Jul 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Authorized official

Name
Dr. Matthew Woodside Lineberger, DDS
Title
Owner
Phone
(704) 892-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

347 N. Caswell
Charlotte, NC 29401

Mailing address

347 N. Caswell
Charlotte, NC 29401
Phone (704) 892-3300

National Provider Directory

National Provider Directory
Tax ID family
Blackman Lineberger Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

347 N Caswell Rd
Charlotte, NC 28204
Phone (704) 892-3300

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1659724904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 N. CASWELL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "29401",
            "telephone_number": "704-892-3300",
            "fax_number": "704-892-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 N. CASWELL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "29401",
            "telephone_number": "704-892-3300",
            "fax_number": "704-892-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & M LINEBERGER DDS MS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "LINEBERGER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "WOODSIDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-892-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.