NPIMap

Organization Active NPI

DRS Farrell, Farrell, Nale, Cook, Kapitan, Mohamed, Franco, Wessel, Ho

Doing business as Carolinas Center For Oral And Facial Surgery

  • Anesthesiology Physician
  • Charlotte, NC
National Provider Identifier
1144740028
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO
Doing business as
Carolinas Center For Oral And Facial Surgery
Practice address
8840 Blakeney Professional Dr Ste 300
Charlotte, NC 28277-6749
Phone
(704) 716-9840
NPI assigned
Jun 22, 2017
Last updated
Dec 1, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Jennifer Rayle Hock
Title
Director of Billing
Phone
(704) 295-4653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

8840 Blakeney Professional Dr Ste 300
Charlotte, NC 28277-6749

Mailing address

5550 77 Center Dr Ste 320
Charlotte, NC 28217-0739
Phone (704) 295-4653

Other practice location 1

7482 Waterside Crossing Blvd Ste 101
Denver, NC 28037-3006
Phone (704) 820-2982

Other practice location 2

8738 University City Blvd
Charlotte, NC 28213-3558
Phone (704) 547-0837

Other practice location 3

411 Billingsley Rd Ste 105
Charlotte, NC 28211-1066
Phone (704) 347-3900

Other names 2

  • Carolinas Center For Oral And Facial Surgery Doing business as
  • Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco PA Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2067000Carolinas Center for Oral & Facial8840 Blakeney Professional Drive, Charlotte, NC 28277Certificate of waiverSep 24, 2027

National Provider Directory

National Provider Directory
Tax ID family
DRS Farrell Farrell Nale Cook Kapitan Mohamed Franco Wessel Ho6 organizations share this tax ID, including this one
Part of
DRS Farrell Farrell Nale Cook Kapitan Mohamed Franco Wessel Ho

Other organizations with this tax ID 5

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

Locations

411 Billingsley Rd
Ste 105
Charlotte, NC 28211
Phone (704) 347-3900

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1144740028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 77 CENTER DR STE 320",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282170739",
            "telephone_number": "704-295-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 BLAKENEY PROFESSIONAL DR STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776749",
            "telephone_number": "704-716-9840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7482 Waterside Crossing Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "NC",
            "postal_code": "280373006",
            "country_code": "US",
            "telephone_number": "704-820-2982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8738 University City Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282133558",
            "country_code": "US",
            "telephone_number": "704-547-0837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Billingsley Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282111066",
            "country_code": "US",
            "telephone_number": "704-347-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "HOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "RAYLE",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "704-295-4653"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolinas Center For Oral And Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carolinas Center For Oral And Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.