Organization Active NPI

M Todd Grooms DDS PA

Doing business as Alamance Pediatric Dentistry

  • Pediatric Dentistry
  • Burlington, NC
National Provider Identifier
1689852477
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
7197 Issued in NC
Legal business name
M TODD GROOMS DDS PA
Doing business as
Alamance Pediatric Dentistry
Practice address
306 Alamance Rd
Ste C
Burlington, NC 27215-5684
Phone
(336) 227-5444
Fax
(336) 227-0029
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Denise B. Hammond
Title
Financial Manager
Phone
(336) 227-5444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 7197 NC Primary

Addresses

Primary practice location

306 Alamance Rd
Ste C
Burlington, NC 27215-5684

Mailing address

306 Alamance Rd Ste C
Burlington, NC 27215-5684
Phone (336) 227-5444

Other names 1

  • Alamance Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

306 Alamance Rd
Ste C
Burlington, NC 27215
Phone (336) 227-5444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1689852477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 ALAMANCE RD STE C",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155684",
            "telephone_number": "336-227-5444",
            "fax_number": "336-227-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 ALAMANCE RD",
            "address_2": "STE C",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155684",
            "telephone_number": "336-227-5444",
            "fax_number": "336-227-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M TODD GROOMS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "336-227-5444"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "7197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alamance Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.