DR. PAUL DOUGLAS NIFONG JR. D.D.S.
NPI 1518972934
Dentist - General Practice in Clemmons, NC

Q: What is Paul Nifong's NPI number?

The NPI number for Paul Nifong is 1518972934. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Q: What is Paul Nifong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Paul Nifong was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 31, 2006PECOS Enrolled

3624 CLEMMONS RD., CLEMMONS, NC 27012(336) 766-6457 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Paul Douglas Nifong Jr. D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL DOUGLAS NIFONG JR. D.D.S. (NPI 1518972934) is an individual general practice provider in Clemmons, North Carolina, licensed in North Carolina (4520) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518972934

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. PAUL DOUGLAS NIFONG JR.Credential: D.D.S.

Location Address3624 CLEMMONS RD.Clemmons, NC 27012-8873

Mailing AddressPo Box 325Clemmons, NC 27012-0325 · (336) 766-6457

Phone(336) 766-6457

Sole ProprietorNo

Enumeration DateJuly 31, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1518972934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NC · 4520

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3624 CLEMMONS RD., Clemmons, NC 27012

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Other Identifiers 1

Medicaid899451NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul Douglas Nifong Jr. D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Nifong's NPI number?

The NPI number for Paul Nifong is 1518972934. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Paul Nifong located?

Paul Nifong practices at 3624 Clemmons Rd., Clemmons, NC 27012. The listed phone number is (336) 766-6457.

What is Paul Nifong's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Paul Nifong enrolled in Medicare?

Yes. Paul Nifong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Nifong was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.