Active NPI
M Todd Grooms DDS PA
Doing business as Alamance Pediatric Dentistry
- Pediatric Dentistry
- Burlington, NC
National Provider Identifier
1689852477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 7197
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Dentistry
- Burlington, NC
- NPI 1669573010
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"
}
]
}
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- Shalaya Mabry
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- Anna Michelle Mackie, CNM
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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.