Organization Active NPI

Thomas W. Monahan, IV, DMD, PA

  • General Practice Dentistry
  • Burlington, NC
National Provider Identifier
1811292048
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THOMAS W. MONAHAN, IV, DMD, PA
Practice address
115 Engleman Avenue
Burlington, NC 27215-4844
Phone
(336) 228-7576
Fax
(336) 228-1464
NPI assigned
Jan 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
Dr. Thomas W. Monahan IV, DMDNPI 1992966170
Title
President
Phone
(336) 228-7576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

115 Engleman Avenue
Burlington, NC 27215-4844

Mailing address

115 Engleman Avenue
Burlington, NC 27215-4844
Phone (336) 228-7576

Other identifiers 1

IdentifierTypeStateIssuer
5910767MedicaidNC

National Provider Directory

National Provider Directory

Locations

115 Engleman Ave
Burlington, NC 27215
Phone (336) 228-7576

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1811292048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ENGLEMAN AVENUE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272154844",
            "telephone_number": "336-228-7576",
            "fax_number": "336-228-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ENGLEMAN AVENUE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272154844",
            "telephone_number": "336-228-7576",
            "fax_number": "336-228-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS W. MONAHAN, IV, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "MONAHAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-228-7576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910767",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.