Organization Active NPI

Karen J Armstrong DMD & Bethany K Tant DDS PLLC

  • General Practice Dentistry
  • Jacksonville, NC
National Provider Identifier
1992989669
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KAREN J ARMSTRONG DMD & BETHANY K TANT DDS PLLC
Practice address
3160 Henderson Drive
Jacksonville, NC 28546
Phone
(910) 346-5600
Fax
(910) 346-5396
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Authorized official

Name
Jane A Collins
Title
Office Manager
Phone
(910) 346-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3160 Henderson Drive
Jacksonville, NC 28546

Mailing address

3160 Henderson Drive
Jacksonville, NC 28546
Phone (910) 346-5600

Other identifiers 3

IdentifierTypeStateIssuer
90292OtherNCBCBS
817388OtherUCCI
5908807MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150728003324 NC Part B Supplier - Clinic/Group Practice 1759695315 Receives reassigned benefits from 2 practitioners
Practice locations: Jacksonville, NC

National Provider Directory

National Provider Directory

Locations

3160 Henderson Dr
Jacksonville, NC 28546
Phone (910) 346-5600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1992989669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 HENDERSON DRIVE",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "910-346-5600",
            "fax_number": "910-346-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 HENDERSON DRIVE",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "910-346-5600",
            "fax_number": "910-346-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN J ARMSTRONG DMD & BETHANY K TANT DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-346-5600"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "90292",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "817388",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908807",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.