Organization Active NPI

Student Dental Clinics, Unc School of Dentistry

  • Dental Clinic/Center
  • Chapel Hill, NC
National Provider Identifier
1922176791
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
STUDENT DENTAL CLINICS, UNC SCHOOL OF DENTISTRY
Practice address
Unc School of Dentistry
Brauer Hall CB 7450
Chapel Hill, NC 27599-7450
Phone
(919) 966-1221
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Authorized official

Name
Dr. Douglas Solow, DDS, MBA
Title
Associate Dean for Clinical Affairs
Phone
(919) 966-2810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

Unc School of Dentistry
Brauer Hall CB 7450
Chapel Hill, NC 27599-7450

Mailing address

Unc School of Dentistry
Brauer Hall CB 7450
Chapel Hill, NC 27599-7450

Other identifiers 1

IdentifierTypeStateIssuer
8990138MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Graduate Orthodontics Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1922176791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNC SCHOOL OF DENTISTRY",
            "address_2": "BRAUER HALL CB 7450",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNC SCHOOL OF DENTISTRY",
            "address_2": "BRAUER HALL CB 7450",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997450",
            "telephone_number": "919-966-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDENT DENTAL CLINICS, UNC SCHOOL OF DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "SOLOW",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "ASSOCIATE DEAN FOR CLINICAL AFFAIRS",
        "authorized_official_telephone_number": "919-966-2810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MBA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990138",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.