Active NPI
Lindsey Maureen Metcalf, DDS
- Dentist
- Kernersville, NC
National Provider Identifier
1770607756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8009
- Practice address
- 123 Broad St Ste 1
Kernersville, NC 27284-2925 - Phone
- (336) 993-4474
- Fax
- (336) 993-4474
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- 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 | 8009 | NC | Primary |
Addresses
Primary practice location
123 Broad St Ste 1
Kernersville, NC 27284-2925
Mailing address
123 Broad St Ste 1
Kernersville, NC 27284-2925
Phone (336) 993-4474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8009 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363305600000",
"number": "1770607756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 BROAD ST STE 1",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272842925",
"telephone_number": "336-993-4474",
"fax_number": "336-993-4474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 BROAD ST STE 1",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272842925",
"telephone_number": "336-993-4474",
"fax_number": "336-993-4474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METCALF",
"first_name": "LINDSEY",
"middle_name": "MAUREEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2013-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "8009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kernersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.