Active NPI
Robert Doherty, DDS
- General Practice Dentistry
- Snow Hill, NC
National Provider Identifier
1881663383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6815
- Practice address
- 6 Professional Dr
Snow Hill, NC 28580-1333 - Phone
- (252) 747-3846
- NPI assigned
- Mar 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6815 | NC | Primary |
Addresses
Primary practice location
6 Professional Dr
Snow Hill, NC 28580-1333
Mailing address
7 Professional Dr
Snow Hill, NC 28580-1332
Phone (252) 747-8162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89902K1 | Medicaid | NC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6815 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1881663383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 PROFESSIONAL DR",
"city": "SNOW HILL",
"state": "NC",
"postal_code": "285801332",
"telephone_number": "252-747-8162",
"fax_number": "252-747-8163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 PROFESSIONAL DR",
"city": "SNOW HILL",
"state": "NC",
"postal_code": "285801333",
"telephone_number": "252-747-3846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOHERTY",
"first_name": "ROBERT",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "6815",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89902K1",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Snow Hill, NC
- Juanita Davis-Edwards
- Deborah Deena, AGNP
- Devine Healthy Solutions LLC
- Divine Interventions Health Care, Inc.
- Dixon Home Care Agency, L.L.C. (Dhca)
- East Carolina Medical Transport, LLC
- Easter Seals Ucp North Carolina
- Easter Seals Ucp North Carolina & Virginia, Inc.
- Easter Seals Ucp North Carolina & Virginia, Inc.
- Easter Seals Ucp North Carolina & Virginia, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.