David E Thome DDS PLLC Xiii

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DAVID E THOME DDS PLLC XIII

Doing business as

Hickory Grove Pediatric Dentistry

Practice address

5708 N Sharon Amity Rd Ste 5708-a
Charlotte, NC 28215-5082

Phone

(704) 350-2153

NPI assigned

May 26, 2022

Last updated

May 26, 2022By 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

Lucenda Cindy Harris

Title

Credentialing and Contracting Coord

Phone

(980) 729-5200

Specialties & licenses 1

Addresses

Other names 1

• Hickory Grove Pediatric Dentistry Doing business as

Tax ID family

David E Thome DDS PLLC Xiii2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• David E Thome DDS PLLC Xiii

  dba Mint Hill Pediatric Dentistry

  • Pediatric Dentistry
  • Charlotte, NC
  • NPI 1154905313
  NPD tax ID

Locations

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1952049207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5708 N SHARON AMITY RD STE 5708-A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282155082",
            "telephone_number": "704-350-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5708 N SHARON AMITY RD STE 5708-A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282155082",
            "telephone_number": "704-350-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E THOME DDS PLLC XIII",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LUCENDA",
        "authorized_official_middle_name": "CINDY",
        "authorized_official_title_or_position": "CREDENTIALING AND CONTRACTING COORD",
        "authorized_official_telephone_number": "980-729-5200"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hickory Grove Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David E Thome DDS PLLC L1
• David E Thome DDS PLLC L1
• David E Thome DDS PLLC XI
• David E Thome DDS PLLC XI
• David E Thome DDS PLLC Xiii (Mint Hill Pediatric Dentistry)
• David E Thome DDS PLLC Xiv
• David E. Shanks, PA
• David H. Moore DDS, Ms, PA
• David H. Moore, DDS,Ms,PA
• David H. Roberts MD PC

• Pediatric Dentistry in Charlotte, NC
• Providers in Charlotte, 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 May 26, 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.