Organization Active NPI

Douglas R. Terry D.D.S., PA

  • Dentist
  • Lenoir, NC
National Provider Identifier
1801965637
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6278 Issued in NC
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Douglas Roger Terry II, DDSNPI 1558430421
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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.