NPIMap

Organization Active NPI

Lindsey M Metcalf DDS PLLC

  • General Practice Dentistry
  • Kernersville, NC
National Provider Identifier
1962886325
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8009 Issued in NC
Legal business name
LINDSEY M METCALF DDS PLLC
Practice address
123 Broad St
Suite 1
Kernersville, NC 27284-2925
Phone
(336) 993-4474
Fax
(336) 993-4474
NPI assigned
Jul 16, 2015
Last updated
Jul 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Lindsey M Metcalf, DDSNPI 1770607756
Title
Sole Member
Phone
(336) 993-4474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8009 NC Primary

Addresses

Primary practice location

123 Broad St
Suite 1
Kernersville, NC 27284-2925

Mailing address

123 Broad St
Suite 1
Kernersville, NC 27284-2925
Phone (336) 993-4474

National Provider Directory

National Provider Directory

Locations

123 Broad St
#1
Kernersville, NC 27284
Phone (336) 993-4474

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1962886325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 BROAD ST",
            "address_2": "SUITE 1",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842925",
            "telephone_number": "336-993-4474",
            "fax_number": "336-993-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 BROAD ST",
            "address_2": "SUITE 1",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842925",
            "telephone_number": "336-993-4474",
            "fax_number": "336-993-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSEY M METCALF DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "METCALF",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "336-993-4474",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.