David J Mayberry, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4792 Issued in NC

Legal business name

DAVID J MAYBERRY, DDS, PA

Practice address

1539 E Innes St
Salisbury, NC 28146-6117

Phone

(704) 637-1232

Fax

(704) 637-0446

NPI assigned

Apr 7, 2008

Last updated

Apr 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David J Mayberry, DDSNPI 1043213044

Title

President

Phone

(704) 637-1232

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David J Mayberry, DDS

  • General Practice Dentistry
  • Salisbury, NC
  • NPI 1043213044
  NPD (past) Authorized official

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1912170499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 E INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281466117",
            "telephone_number": "704-637-1232",
            "fax_number": "704-637-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 E INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281466117",
            "telephone_number": "704-637-1232",
            "fax_number": "704-637-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J MAYBERRY, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "MAYBERRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-637-1232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8995584",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David E Thome DDS PLLC I (Salisbury Pediatric Dentistry)
• David E Thome DDS PLLC III (Salisbury Pediatric Dentistry)
• David E Thome DDS PLLC L1
• David E Thome DDS PLLC Li
• David E. Thome, DDS, PA
• Amanda Ann Davis, DPT
• Charles Noble Davis Jr., O.D.
• Cynthia Ann Davis, F.N.P.
• Holly A Davis
• Lauren Nicole Davis, PHARMD

• General Practice Dentistry in Salisbury, NC
• Providers in Salisbury, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.