NPIMap

Organization Active NPI

William R. Plaster, DDS, PA

  • Dentist
  • Shelby, NC
National Provider Identifier
1700202116
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
NC6712 Issued in NC
Legal business name
WILLIAM R. PLASTER, DDS, PA
Practice address
1455 E Marion St
Suite F
Shelby, NC 28150-4985
Phone
(704) 487-7391
NPI assigned
Mar 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Dr. William R. Plaster, DDSNPI 1013133156
Title
Owner
Phone
(704) 487-7391

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X NC6712 NC Primary

Addresses

Primary practice location

1455 E Marion St
Suite F
Shelby, NC 28150-4985

Mailing address

1455 E Marion St
Suite F
Shelby, NC 28150-4985
Phone (704) 487-7391

Other identifiers 1

IdentifierTypeStateIssuer
899014PMedicaidNC

Other names 1

  • Plaster Family Dentistry Other name

National Provider Directory

National Provider Directory

Locations

1455 E Marion St
Ste F
Shelby, NC 28150
Phone (704) 487-7391

Practitioners & affiliated clinicians

Practitioners 2

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": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1700202116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 E MARION ST",
            "address_2": "SUITE F",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504985",
            "telephone_number": "704-487-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E MARION ST",
            "address_2": "SUITE F",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504985",
            "telephone_number": "704-487-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R. PLASTER, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "PLASTER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-487-7391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "NC6712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899014P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaster Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.