NPIMap

Organization Active NPI

Firsthealth of the Carolinas, Inc.

  • Dental Clinic/Center
  • Southern Pines, NC
National Provider Identifier
1699755686
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
H0100 Issued in NC
Legal business name
FIRSTHEALTH OF THE CAROLINAS, INC.
Practice address
105 Perry Dr
Southern Pines, NC 28387-7019
Phone
(910) 692-5111
Fax
(910) 692-1003
NPI assigned
Jan 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Mickey Foster
Title
Ceo
Phone
(910) 715-4473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X H0100 NC Primary

Addresses

Primary practice location

105 Perry Dr
Southern Pines, NC 28387-7019

Mailing address

105 Perry Dr
Southern Pines, NC 28387-7019
Phone (910) 692-5111

Other identifiers 2

IdentifierTypeStateIssuer
0296VOtherNCBCBS
89-0296VMedicaidNC

Other names 1

  • FirstHealth Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Firsthealth Dental Care Center27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Locations

105 Perry Dr
Southern Pnes, NC 28387
Phone (910) 692-5111

Practitioners & affiliated clinicians

Practitioners 7

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": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1699755686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PERRY DR",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877019",
            "telephone_number": "910-692-5111",
            "fax_number": "910-692-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PERRY DR",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877019",
            "telephone_number": "910-692-5111",
            "fax_number": "910-692-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTHEALTH OF THE CAROLINAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-715-4473"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "H0100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0296V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-0296V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstHealth Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.