Organization Active NPI

J David Civils & Janna C Civils DDS PA

  • Dentist
  • Greensboro, NC
National Provider Identifier
1871558726
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7263 Issued in NU
Legal business name
J DAVID CIVILS & JANNA C CIVILS DDS PA
Practice address
1114 Magnolia St
Greensboro, NC 27401
Phone
(336) 272-4177
Fax
(336) 272-6313
NPI assigned
Apr 20, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Jonn David Civils Jr., DDS
Title
President
Phone
(336) 272-4177

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7418 NU
Dentist 122300000X 7263 NU Primary

Addresses

Primary practice location

1114 Magnolia St
Greensboro, NC 27401

Mailing address

PO Box 13646
Greensboro, NC 27415
Phone (336) 272-4177

National Provider Directory

National Provider Directory

Locations

1114 Magnolia St
Greensboro, NC 27401
Phone (336) 272-4177

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1871558726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13646",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27415",
            "telephone_number": "336-272-4177",
            "fax_number": "336-272-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 MAGNOLIA ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27401",
            "telephone_number": "336-272-4177",
            "fax_number": "336-272-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J DAVID CIVILS & JANNA C CIVILS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CIVILS",
        "authorized_official_first_name": "JONN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-272-4177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": "7418",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": "7263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.