Active NPI
Disdier & Associates,PA
- General Practice Dentistry
- Goldsboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6975
- Legal business name
- DISDIER & ASSOCIATES,PA
- Practice address
- 1208 E Ash St
Goldsboro, NC 27530-5104 - Phone
- (919) 583-0102
- NPI assigned
- Feb 14, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles Disdier
- Title
- Dentist
- Phone
- (919) 583-0102
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6975 | NC | Primary |
Addresses
Primary practice location
1208 E Ash St
Goldsboro, NC 27530-5104
Mailing address
1208 E Ash St
Goldsboro, NC 27530-5104
Phone (919) 583-0102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5903554 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Disdier Associates PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba immediate dental care
- General Practice Dentistry
- Kinston, NC
- NPI 1194867002
Locations
1208 E Ash St
Goldsboro, NC 27530
Phone (919) 583-0102
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- General Practice Dentistry
- Wilson, NC
- NPI 1194886937
-
- General Practice Dentistry
- Goldsboro, NC
- NPI 1912067166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1669514576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 E ASH ST",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275305104",
"telephone_number": "919-583-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 E ASH ST",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275305104",
"telephone_number": "919-583-0102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISDIER & ASSOCIATES,PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DISDIER",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "919-583-0102",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "6975",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5903554",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.