NPIMap

Organization Active NPI

Thomas C Drew,IV,DDS,PA

  • General Practice Dentistry
  • Enfield, NC
National Provider Identifier
1891901534
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5487 Issued in NC
Legal business name
THOMAS C DREW,IV,DDS,PA
Practice address
117 Glenview Rd
Enfield, NC 27823-1324
Phone
(252) 445-5998
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas C Drew IV, DDSNPI 1467455444
Title
President
Phone
(252) 445-5998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5487 NC Primary

Addresses

Primary practice location

117 Glenview Rd
Enfield, NC 27823-1324

Mailing address

PO Box 485
Enfield, NC 27823-0485
Phone (252) 445-5998

Other identifiers 1

IdentifierTypeStateIssuer
8992206MedicaidNC

National Provider Directory

National Provider Directory

Locations

117 Glenview Rd
Enfield, NC 27823
Phone (252) 445-5998

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891901534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "ENFIELD",
            "state": "NC",
            "postal_code": "278230485",
            "telephone_number": "252-445-5998",
            "fax_number": "252-445-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 GLENVIEW RD",
            "city": "ENFIELD",
            "state": "NC",
            "postal_code": "278231324",
            "telephone_number": "252-445-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS C DREW,IV,DDS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-445-5998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8992206",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, 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.

Verify at the official NPI Registry.