Individual provider Active NPI

Paige Full, DMD

  • Dentist
  • Hampstead, NC
National Provider Identifier
1881047389
Registry record updated Mar 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11909 Issued in NC
Practice address
301 Aloha Way
Hampstead, NC 28443-4200
Phone
(828) 252-4290
NPI assigned
Jul 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 51095 NC
Dentist 122300000X 11909 NC Primary

Addresses

Primary practice location

301 Aloha Way
Hampstead, NC 28443-4200

Mailing address

1620 Barclay Pointe Blvd Apt 8305
Wilmington, NC 28412-1105
Phone (724) 312-6730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
51095NCMDDentist
11909NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646524800000",
    "number": "1881047389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 BARCLAY POINTE BLVD APT 8305",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284121105",
            "telephone_number": "724-312-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ALOHA WAY",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284434200",
            "telephone_number": "828-252-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULL",
        "first_name": "PAIGE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2022-03-06",
        "certification_date": "2022-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "51095",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2022; 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.