NPIMap

Organization Active NPI

Meadows Lutcavage Smith Vinton Fidler Long & Armstrong PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Morehead City, NC
National Provider Identifier
1912977802
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
4872 Issued in NC
Legal business name
MEADOWS LUTCAVAGE SMITH VINTON FIDLER LONG & ARMSTRONG PA
Practice address
501 Penny Lane
Morehead City, NC 28557
Phone
(252) 247-2258
Fax
(252) 247-7783
NPI assigned
Jan 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Authorized official

Name
Jeffrey Ralph Vinton, D.D.S.NPI 1538149117
Title
Partner
Phone
(252) 247-2258

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 4872 NC Primary

Addresses

Primary practice location

501 Penny Lane
Morehead City, NC 28557

Mailing address

501 Penny Lane
Morehead City, NC 28557
Phone (252) 247-2258

Other identifiers 9

IdentifierTypeStateIssuer
1749169OtherUNITED CONCORDIA, DR. LON
899000LMedicaidNE
8997871MedicaidNC
9018POtherNCBCBSNC, LONG
97871OtherNCBCBSNC, SMITH
822407OtherUNITED CONCORDIA, SMITH
899018PMedicaidNC
79096OtherUNITED CONCORDIA, VINTON
9000LOtherNCBCBSNC, VINTON

Other names 1

  • Eastern Carolina Oral and Maxillofacial Surgery Associates Other name

National Provider Directory

National Provider Directory

Locations

501 Penny Ln
Morehead City, NC 28557
Phone (252) 247-2258

Practitioners & affiliated clinicians

Practitioners 4

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": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1912977802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PENNY LANE",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "28557",
            "telephone_number": "252-247-2258",
            "fax_number": "252-247-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PENNY LANE",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "28557",
            "telephone_number": "252-247-2258",
            "fax_number": "252-247-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWS LUTCAVAGE SMITH VINTON FIDLER LONG & ARMSTRONG PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "VINTON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "252-247-2258",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "4872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA, DR. LON",
            "identifier": "1749169",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899000L",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8997871",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC, LONG",
            "identifier": "9018P",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC, SMITH",
            "identifier": "97871",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA, SMITH",
            "identifier": "822407",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899018P",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA, VINTON",
            "identifier": "79096",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC, VINTON",
            "identifier": "9000L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Carolina Oral and Maxillofacial Surgery Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.