Organization Active NPI

Leonard H Haltiwanger, DMD, Ms, PA

  • Dental Clinic/Center
  • Rockingham, NC
National Provider Identifier
1821297193
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6566 Issued in NC
Legal business name
LEONARD H HALTIWANGER, DMD, MS, PA
Practice address
719 S Long Dr
Rockingham, NC 28379-4315
Phone
(910) 997-2204
Fax
(910) 997-4950
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Dr. Leonard Helms Haltiwanger, DMD, MSNPI 1558434142
Title
Owner/President
Phone
(910) 997-2204

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
Dental Clinic/Center 261QD0000X 6566 NC Primary

Addresses

Primary practice location

719 S Long Dr
Rockingham, NC 28379-4315

Mailing address

719 S Long Dr
Rockingham, NC 28379-4315
Phone (910) 997-2204

National Provider Directory

National Provider Directory

Locations

719 S Long Dr
Rockingham, NC 28379
Phone (910) 997-2204

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": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1821297193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 S LONG DR",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794315",
            "telephone_number": "910-997-2204",
            "fax_number": "910-997-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 S LONG DR",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794315",
            "telephone_number": "910-997-2204",
            "fax_number": "910-997-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD H HALTIWANGER, DMD, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "HALTIWANGER",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "HELMS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "910-997-2204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "6566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.