John Anderson Overton, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8688 Issued in NC

Practice address

710 Military Cutoff Rd Ste 100
Wilmington, NC 28405-2379

Phone

(910) 619-1962

NPI assigned

Sep 24, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• John a Overton II DDS PA

  dba Mayfaire Family Dentistry

  • General Practice Dentistry
  • Wilmington, NC
  • NPI 1700404902
  NPD Authorized official
• Overton and Joh D.D.S., P.a.

  dba Columbus Smiles

  • General Practice Dentistry
  • Delco, NC
  • NPI 1578801379
  Authorized official Same address or phone

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1770733925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 TOWLES RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284092122",
            "telephone_number": "910-619-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MILITARY CUTOFF RD STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284052379",
            "telephone_number": "910-619-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERTON",
        "first_name": "JOHN",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Overman, LMFTA
• Paul Overman, PH.D.
• Thomas Brent Overman, BSW
• Mayra Alicia Overstreet Galeano, M.D.
• James Wharey Overton Sr., DENTIST
• Douglas Michael Owen, M.S., LPC
• Elizabeth Cecelia Owen, PSY. D.
• James Conally Owen, MSW, LISW-CP
• John Owen, LCMHCA
• Johnathan Adam Owen, PHARMD

• General Practice Dentistry in Wilmington, NC
• Providers in Wilmington, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.