Individual provider Active NPI

Patricia A London, DDS

  • General Practice Dentistry
  • Concord, NC
National Provider Identifier
1962496299
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5057 Issued in NC
Practice address
213 Church St NE
Concord, NC 28025-4763
Phone
(704) 782-1012
Fax
(704) 782-1368
NPI assigned
Sep 1, 2005
Reactivated
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5057 NC Primary

Addresses

Primary practice location

213 Church St NE
Concord, NC 28025-4763

Mailing address

213 Church St NE
Concord, NC 28025-4763
Phone (704) 782-1012

Other identifiers 2

IdentifierTypeStateIssuer
8997786MedicaidNC
97786OtherNCBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151210001991 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1951602283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5057NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DRS J Loveland and R Walker III, PLLC General Practice PastSince Jun 12, 2022 Accepting new patients
Patricia London DDS Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962496299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 CHURCH ST NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254763",
            "telephone_number": "704-782-1012",
            "fax_number": "704-782-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 CHURCH ST NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254763",
            "telephone_number": "704-782-1012",
            "fax_number": "704-782-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDON",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8997786",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "97786",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.