Active NPI
First Choice Community Health Centers
Doing business as Anderson Creek Dental Clinic
- Dentist
- Spring Lake, NC
National Provider Identifier
1811910706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- FIRST CHOICE COMMUNITY HEALTH CENTERS
- Doing business as
- Anderson Creek Dental Clinic
- Practice address
- 6720 Overhills Rd
Spring Lake, NC 28390-8872 - Phone
- (910) 436-3194
- Fax
- (910) 436-3195
- NPI assigned
- Jul 25, 2006
- Last updated
- Sep 8, 2025
- 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
- Sheila L Simmons
- Title
- Ceo
- Phone
- (910) 364-0971
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NU | Primary |
Addresses
Primary practice location
6720 Overhills Rd
Spring Lake, NC 28390-8872
Mailing address
40 Autumn Fern TRL
Lillington, NC 27546-5155
Phone (910) 364-0971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 344510D | Medicaid | NC |
Other names 1
- Anderson Creek Dental Clinic
National Provider Directory
National Provider Directory- Tax ID family
- The Western Medical Group
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic Pharmacy
- Lillington, NC
- NPI 1578819959
-
- Federally Qualified Health Center (FQHC)
- Mamers, NC
- NPI 1679706691
Locations
6720 Overhills Rd
Spring Lake, NC 28390
Phone (910) 436-3194
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- General Practice Dentistry
- Cary, NC
- NPI 1841349388
-
- Dentist
- Spring Lake, NC
- NPI 1932035870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757289600000",
"number": "1811910706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 AUTUMN FERN TRL",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275465155",
"telephone_number": "910-364-0971",
"fax_number": "910-814-4064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6720 OVERHILLS RD",
"city": "SPRING LAKE",
"state": "NC",
"postal_code": "283908872",
"telephone_number": "910-436-3194",
"fax_number": "910-436-3195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST CHOICE COMMUNITY HEALTH CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "SHEILA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "910-364-0971"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "344510D",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Anderson Creek Dental Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Anderson Creek Dental Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spring Lake, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.