Active NPI
Thomas F Lundeen, DMD
- General Practice Dentistry
- Taylorsville, NC
National Provider Identifier
1801055652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4371
- Practice address
- 633 Old Landfill Road
NC Department of Corrections Axci 4870
Taylorsville, NC 28681-0909 - Phone
- (828) 632-1331
- Fax
- (828) 632-1346
- NPI assigned
- Jun 6, 2008
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4371 | NC | Primary |
Addresses
Primary practice location
633 Old Landfill Road
NC Department of Corrections Axci 4870
Taylorsville, NC 28681-0909
Mailing address
633 Old Landfill Road
Department of Corrections Axci #4870
Taylorsville, NC 28681-0909
Phone (828) 632-1331
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 |
|---|---|---|---|
| 4371 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212710400000",
"number": "1801055652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 OLD LANDFILL ROAD",
"address_2": "DEPARTMENT OF CORRECTIONS AXCI #4870",
"city": "TAYLORSVILLE",
"state": "NC",
"postal_code": "286810909",
"telephone_number": "828-632-1331",
"fax_number": "828-632-1346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 OLD LANDFILL ROAD",
"address_2": "NC DEPARTMENT OF CORRECTIONS AXCI 4870",
"city": "TAYLORSVILLE",
"state": "NC",
"postal_code": "286810909",
"telephone_number": "828-632-1331",
"fax_number": "828-632-1346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDEEN",
"first_name": "THOMAS",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-06",
"last_updated": "2008-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "4371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylorsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.