Medical Resource Center for Randolph County,Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MEDICAL RESOURCE CENTER FOR RANDOLPH COUNTY,INC.

Practice address

308 Brewer St
Asheboro, NC 27203-4896

Phone

(336) 610-7000

NPI assigned

Aug 19, 2008

Organization subpart

Yes

Parent organization

MEDICAL RESOURCE CENTER FOR RANDOLPH COUNTY,INC.As reported in NPPES

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

Authorized official

Name

Wanda S Lynthacum

Title

Medical Billing Specialist

Phone

(336) 301-2150

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MERCE Dental Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Federally qualified health center certification: CCN 341941

Legal name

MERCE DENTAL CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Apr 16, 2009

Last certification

Apr 16, 2009

Ownership / control type

For profit – corporation

Facility address

308 Brewer Street
Asheboro, NC 27203

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Medical Resource Center for Randolph County, Inc.

  • Family Medicine Physician
  • Asheboro, NC
  • NPI 1801953088
  NPPES parent name

Practitioners 1

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

• Karla Rene Smith, MD

  • Family Medicine Physician
  • High Point, NC
  • NPI 1275663593
  NPD (past)

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1851548002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 N FAYETTEVILLE ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272033273",
            "telephone_number": "336-672-1300",
            "fax_number": "336-672-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 BREWER ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034896",
            "telephone_number": "336-610-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL RESOURCE CENTER FOR RANDOLPH COUNTY,INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL RESOURCE CENTER FOR RANDOLPH COUNTY,INC.",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "LYNTHACUM",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL BILLING SPECIALIST",
        "authorized_official_telephone_number": "336-301-2150"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790202A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCE Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Howard Ardel McQuirter Jr.
• Deborah Sue McRoberts, M.D.
• Holly Warrick McRoy, CCC-SLP
• Medhealth Transit LLC
• Medical Resource Center for Randolph County, Inc.
• Medicine Shoppe of Asheboro NC Inc
• Tamra Lambeth Mell, LPA
• Johanna De Jesus Mena Rosas, NP
• Natalya Mendez
• Meridian Internal Medicine, P.a.

• Dentist in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.