Active NPI
Christopher Thomas Dawson, DDS
- Dentist
- Benson, NC
National Provider Identifier
1710484357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11474
- Practice address
- 12330 NC Highway 210 Ste 115
Benson, NC 27504-5800 - Phone
- (919) 207-2077
- Fax
- (919) 934-1233
- NPI assigned
- Apr 10, 2018
- Last updated
- Jun 18, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11474 | NC | Primary |
Addresses
Primary practice location
12330 NC Highway 210 Ste 115
Benson, NC 27504-5800
Mailing address
12330 NC Highway 210 Ste 115
Benson, NC 27504-5800
Phone (919) 207-2077
Other practice location 1
1000 Blythe Blvd
Charlotte, NC 28203-5871
Phone (704) 355-2165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181115000668 | NC | Order and Referring Only - Dentist | 8325392087 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11474 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riccobene & Associates I, DDS, P.a. | Dentist | Past | Accepting new patients |
| Riccobene & Associates I, DDS, P.a. | Past | Accepting new patients | |
| Riccobene Associates Xxvii, DDS, P.a. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Riccobene Associates Family Dentistry - Raleigh Falls
- General Practice Dentistry
- Raleigh, NC
- NPI 1093064958
-
dba Riccobene Associates Family Dentistry - Clemmons
- General Practice Dentistry
- Clemmons, NC
- NPI 1386158475
-
- Pediatric Dentistry
- Raleigh, NC
- NPI 1790256782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1710484357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12330 NC HIGHWAY 210 STE 115",
"city": "BENSON",
"state": "NC",
"postal_code": "275045800",
"telephone_number": "919-207-2077",
"fax_number": "919-934-1233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12330 NC HIGHWAY 210 STE 115",
"city": "BENSON",
"state": "NC",
"postal_code": "275045800",
"telephone_number": "919-207-2077",
"fax_number": "919-934-1233"
}
],
"practiceLocations": [
{
"address_1": "1000 Blythe Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035871",
"country_code": "US",
"telephone_number": "704-355-2165",
"fax_number": "704-355-8856",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAWSON",
"first_name": "CHRISTOPHER",
"middle_name": "THOMAS",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-10",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "11474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benson, NC
- Connections Behavioral Health and Wellness, PLLC
- Rutina Corbin-Bailey, CPSS
- Crossroads Family Chiropractic
- Crossroads Wellness and Rehab, PA
- Davis Drug Company of Kenly, Inc. (Davis Drug Company)
- Janet Monica De la Cruz
- Salematou Diallo, FNP
- Dillard and Associates (medicap pharmacy)
- Dillard and Associates Inc (HealthSmart Pharmacy)
- David Dobbins, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.