Organization Active NPI

Thomas M Musson DDS,PA

  • Pediatric Dentistry
  • North Wilkesboro, NC
National Provider Identifier
1730237132
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
4299 Issued in NC
Legal business name
THOMAS M MUSSON DDS,PA
Practice address
120 Wilkesboro Ave
North Wilkesboro, NC 28659-4218
Phone
(336) 667-4114
NPI assigned
Jan 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas Marchant Musson, DDSNPI 1245388644
Title
President
Phone
(336) 667-4114

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 4299 NC Primary

Addresses

Primary practice location

120 Wilkesboro Ave
North Wilkesboro, NC 28659-4218

Mailing address

PO Box 2062
North Wilkesboro, NC 28659-2062
Phone (336) 667-4114

Other identifiers 2

IdentifierTypeStateIssuer
96299OtherNCNC HEALTH CHOICE
8996299MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730237132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2062",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286592062",
            "telephone_number": "336-667-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WILKESBORO AVE",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286594218",
            "telephone_number": "336-667-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M MUSSON DDS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUSSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MARCHANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-667-4114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "4299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC HEALTH CHOICE",
            "identifier": "96299",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8996299",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.