NPIMap

Organization Active NPI

Timeless Smiles Mobile Dentistry

  • General Practice Dentistry
  • Lincolnton, NC
National Provider Identifier
1881946069
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8175 Issued in NC
Legal business name
TIMELESS SMILES MOBILE DENTISTRY
Practice address
3090 E Highway 27
Lincolnton, NC 28092-9441
Phone
(704) 263-4646
Fax
(704) 263-4696
NPI assigned
Oct 11, 2012
Last updated
Oct 11, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ADAM E. NAYLOR DDS PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Josette H Story
Title
Office Manager
Phone
(704) 263-4646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8175 NC Primary

Addresses

Primary practice location

3090 E Highway 27
Lincolnton, NC 28092-9441

Mailing address

3090 E Highway 27
Suite B
Lincolnton, NC 28092-9441
Phone (704) 263-4646

National Provider Directory

National Provider Directory
Tax ID family
Adam E Naylor DDS PA5 organizations share this tax ID, including this one
Part of
Adam E Naylor DDS PA

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3090 E Highway 27
Lincolnton, NC 28092
Phone (704) 732-2629

3090 E Highway 27
Ste B
Lincolnton, NC 28092
Phone (704) 869-2800

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1881946069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 E HIGHWAY 27",
            "address_2": "SUITE B",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280929441",
            "telephone_number": "704-263-4646",
            "fax_number": "704-263-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 E HIGHWAY 27",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280929441",
            "telephone_number": "704-263-4646",
            "fax_number": "704-263-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMELESS SMILES MOBILE DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADAM E. NAYLOR DDS PA",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "STORY",
        "authorized_official_first_name": "JOSETTE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-263-4646"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.