David E Thome DDS PLLC V

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

9277 Issued in NC

Legal business name

DAVID E THOME DDS PLLC V

Practice address

2301 S Cannon Blvd
Kannapolis, NC 28083-6907

Phone

(704) 604-0353

NPI assigned

Sep 9, 2016

Organization subpart

No

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

Authorized official

Name

Lucenda Harris

Title

Credentialing & Contracting Coordin

Phone

(980) 729-5200

Specialties & licenses 1

Addresses

Other names 1

• Cabarrus Pediatric Dentistry Doing business as

Locations

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1922555689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530172",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530172",
            "telephone_number": "980-729-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S CANNON BLVD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280836907",
            "telephone_number": "704-604-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E THOME DDS PLLC V",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LUCENDA",
        "authorized_official_title_or_position": "CREDENTIALING & CONTRACTING COORDIN",
        "authorized_official_telephone_number": "980-729-5200"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "9277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cabarrus Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cabarrus Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Candace Crowe, DMD
• Sonia Ivette Cubero, P.T.
• Phylicia Currence, LCSW
• Kayla Elizabeth Daugherty, MS, RDN, LDN
• David E Thome DDS PLLC I
• Rachal Alice David, M.D.
• Kevin Brian Davidson, M.A., L.P.A.
• Sandra S Davis, R.N.C.
• Shellian Simone Davis, DO
• Daymark Recovery Services Inc

• Pediatric Dentistry in Kannapolis, NC
• Providers in Kannapolis, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.