Paul Hunter Cloninger, DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7118 Issued in NC

Practice address

1015 E Church St
Cherryville, NC 28021-2916

Phone

(704) 435-6916

Fax

(704) 435-6811

NPI assigned

Oct 3, 2006

Last updated

Apr 17, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Cherryville Dental Clinic

  • Dentist
  • Cherryville, NC
  • NPI 1386828614
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1669567194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 E CHURCH ST",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280212916",
            "telephone_number": "704-435-6916",
            "fax_number": "704-435-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E CHURCH ST",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280212916",
            "telephone_number": "704-435-6916",
            "fax_number": "704-435-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLONINGER",
        "first_name": "PAUL",
        "middle_name": "HUNTER",
        "name_prefix": "Dr.",
        "credential": "DDS PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899013A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherryville Dental Clinic
• Cherryville Primary Care
• Cherryville Primary Care
• Vellessia Annette Church, PTA
• Cleco Primary Care Network (Cherryville Family Care)
• Cearira S Cowan
• Meghan Prevette Crater, FNP-C
• Crawford Unit LLC
• India A Cross, BS
• Tom Glenn Dellinger, OD

• General Practice Dentistry in Cherryville, NC
• Providers in Cherryville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.