Active NPI
Douglas R. Terry D.D.S., PA
- Dentist
- Lenoir, NC
National Provider Identifier
1801965637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6278
- Legal business name
- DOUGLAS R. TERRY D.D.S., PA
- Practice address
- 504 Mulberry St SW
Lenoir, NC 28645-5725 - Phone
- (828) 758-1906
- Fax
- (828) 758-1989
- NPI assigned
- Nov 7, 2006
- Last updated
- Jun 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas Roger Terry II, DDS
- Title
- Dentist
- Phone
- (828) 758-1906
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6278 | NC | Primary |
Addresses
Primary practice location
504 Mulberry St SW
Lenoir, NC 28645-5725
Mailing address
504 Mulberry St SW
Lenoir, NC 28645-5725
Phone (828) 758-1906
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Dentist
- Lenoir, NC
- NPI 1558430421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1801965637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 MULBERRY ST SW",
"city": "LENOIR",
"state": "NC",
"postal_code": "286455725",
"telephone_number": "828-758-1906",
"fax_number": "828-758-1989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 MULBERRY ST SW",
"city": "LENOIR",
"state": "NC",
"postal_code": "286455725",
"telephone_number": "828-758-1906",
"fax_number": "828-758-1989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS R. TERRY D.D.S., PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "TERRY",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "ROGER",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "828-758-1906",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NC",
"license": "6278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lenoir, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.