Organization Active NPI

Nina Thomas, DDS, PLLC

  • Dental Clinic/Center
  • Wake Forest, NC
National Provider Identifier
1801398060
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NINA THOMAS, DDS, PLLC
Doing business as
Longleaf Dentistry
Practice address
1440 Brogden Woods Dr Ste 101
Wake Forest, NC 27587-9827
Phone
(919) 888-4809
NPI assigned
Mar 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2018

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

Authorized official

Name
Nina Thomas
Title
Owner
Phone
(704) 408-5590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1440 Brogden Woods Dr Ste 101
Wake Forest, NC 27587-9827

Mailing address

1440 Brogden Woods Dr Ste 101
Wake Forest, NC 27587-9827
Phone (919) 888-4809

Other names 1

  • Longleaf Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1440 Brogden Woods Dr
Ste 101
Wake Forest, NC 27587
Phone (919) 888-4809

NPI Registry JSON

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520208000000",
    "number": "1801398060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 BROGDEN WOODS DR STE 101",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879827",
            "telephone_number": "919-888-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 BROGDEN WOODS DR STE 101",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879827",
            "telephone_number": "919-888-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA THOMAS, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-408-5590"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longleaf Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; 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.