NPIMap

Organization Active NPI

David E Thome DDS PLLC I

  • Pediatric Dentistry
  • Shelby, NC
National Provider Identifier
1942935366
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DAVID E THOME DDS PLLC I
Practice address
221 Simpson Park Rd
Shelby, NC 28150-4299
Phone
(704) 484-3366
NPI assigned
Jul 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Authorized official

Name
Lucenda Harris
Title
Credentialing and Contracting Coord
Phone
(980) 729-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

221 Simpson Park Rd
Shelby, NC 28150-4299

Mailing address

221 Simpson Park Rd
Shelby, NC 28150-4299
Phone (704) 484-3366

Other names 1

  • Shelby Pediatric Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
David E Thome DDS PLLC I17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1942935366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 SIMPSON PARK RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504299",
            "telephone_number": "704-484-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 SIMPSON PARK RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504299",
            "telephone_number": "704-484-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E THOME DDS PLLC I",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LUCENDA",
        "authorized_official_title_or_position": "CREDENTIALING AND CONTRACTING COORD",
        "authorized_official_telephone_number": "980-729-5200"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelby Pediatric Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.