Active NPI
Thome & Young DDS PLLC III
- Pediatric Dentistry
- Charlotte, NC
National Provider Identifier
1811670334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- THOME & YOUNG DDS PLLC III
- Practice address
- 3010 Baucom Rd Ste 100
Charlotte, NC 28269-6767 - Phone
- (704) 587-7336
- NPI assigned
- Aug 10, 2023
- 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
- Chad Hendricks
- Title
- Credentialing
- Phone
- (612) 859-0444
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | |||
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
3010 Baucom Rd Ste 100
Charlotte, NC 28269-6767
Mailing address
3010 Baucom Rd Ste 100
Charlotte, NC 28269-6767
Phone (704) 587-7336
Other names 1
- Young and Polite Childrens Dentistry
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691625600000",
"number": "1811670334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 BAUCOM RD STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282696767",
"telephone_number": "704-587-7336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 BAUCOM RD STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282696767",
"telephone_number": "704-587-7336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOME & YOUNG DDS PLLC III",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-10",
"last_updated": "2023-08-10",
"certification_date": "2023-08-09",
"status": "A",
"authorized_official_last_name": "HENDRICKS",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "612-859-0444"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Young and Polite Childrens Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.