Active NPI
Mark a. Tripp DDS., PA
- General Practice Dentistry
- Charlotte, NC
National Provider Identifier
1811915796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7034
- Legal business name
- MARK A. TRIPP DDS., PA
- Practice address
- 300 Billingsley Rd Ste 202
Charlotte, NC 28211-1084 - Phone
- (704) 347-2557
- Fax
- (704) 334-2576
- NPI assigned
- Jul 18, 2006
- 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. Mark A Tripp, DDS
- Title
- Owner
- Phone
- (704) 347-2557
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7034 | NC | Primary |
| General Practice Dentistry | 1223G0001X | 8356 | ND | |
| General Practice Dentistry | 1223G0001X | 8861 | NC |
Addresses
Primary practice location
300 Billingsley Rd Ste 202
Charlotte, NC 28211-1084
Mailing address
300 Billingsley Rd Ste 202
Charlotte, NC 28211-1084
Phone (704) 347-2557
National Provider Directory
National Provider DirectoryLocations
300 Billingsley Rd
Ste 202
Charlotte, NC 28211
Phone (704) 347-2557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326326400000",
"number": "1811915796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 BILLINGSLEY RD STE 202",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111084",
"telephone_number": "704-347-2557",
"fax_number": "704-334-2576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BILLINGSLEY RD STE 202",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111084",
"telephone_number": "704-347-2557",
"fax_number": "704-334-2576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK A. TRIPP DDS., PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-18",
"last_updated": "2012-01-12",
"status": "A",
"authorized_official_last_name": "TRIPP",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-347-2557",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "7034",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "ND",
"license": "8356",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "8861",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.