Active NPI
DRS. Englehardt & Vande Berg, DDS, PA
- Oral and Maxillofacial Surgery (Dentist)
- Cary, NC
National Provider Identifier
1891898060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- DRS. ENGLEHARDT & VANDE BERG, DDS, PA
- Practice address
- 1010 High House Rd
Suite 100
Cary, NC 27513-3576 - Phone
- (919) 461-0110
- Fax
- (919) 461-0114
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Karla W. Grantham
- Title
- Office Manager
- Phone
- (919) 461-0110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | NC | Primary |
Addresses
Primary practice location
1010 High House Rd
Suite 100
Cary, NC 27513-3576
Mailing address
1010 High House Rd
Suite 100
Cary, NC 27513-3576
Phone (919) 461-0110
Other names 1
- Drs. Englehardt & Vande Berg, DDS, PA
National Provider Directory
National Provider DirectoryLocations
1010 High House Rd
Ste 100
Cary, NC 27513
Phone (919) 461-0110
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Cary, NC
- NPI 1174622054
-
- Dentist
- Cary, NC
- NPI 1164521043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891898060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 HIGH HOUSE RD",
"address_2": "SUITE 100",
"city": "CARY",
"state": "NC",
"postal_code": "275133576",
"telephone_number": "919-461-0110",
"fax_number": "919-461-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 HIGH HOUSE RD",
"address_2": "SUITE 100",
"city": "CARY",
"state": "NC",
"postal_code": "275133576",
"telephone_number": "919-461-0110",
"fax_number": "919-461-0114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS. ENGLEHARDT & VANDE BERG, DDS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GRANTHAM",
"authorized_official_first_name": "KARLA",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "919-461-0110",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Drs. Englehardt & Vande Berg, DDS, PA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.