Active NPI
Sharon Cobham DDS and Nicole Lecann DDS IV PA
- General Practice Dentistry
- Raleigh, NC
National Provider Identifier
1154484228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7000
- Legal business name
- SHARON COBHAM DDS AND NICOLE LECANN DDS IV PA
- Practice address
- 4814 Six Forks Rd
Suite 102
Raleigh, NC 27609 - Phone
- (919) 783-5550
- Fax
- (919) 791-1990
- NPI assigned
- Dec 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nicole Lecann, DDS
- Title
- Owner
- Phone
- (919) 789-8682
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6970 | NC | |
| General Practice Dentistry | 1223G0001X | 7000 | NC | Primary |
Addresses
Primary practice location
4814 Six Forks Rd
Suite 102
Raleigh, NC 27609
Mailing address
4814 Six Forks Rd
Suite 102
Raleigh, NC 27609
Phone (919) 783-5550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89014NT | Medicaid | NC | |
| 014NT | Other | NC | NCHC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209686400000",
"number": "1154484228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4814 SIX FORKS RD",
"address_2": "SUITE 102",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27609",
"telephone_number": "919-783-5550",
"fax_number": "919-791-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4814 SIX FORKS RD",
"address_2": "SUITE 102",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27609",
"telephone_number": "919-783-5550",
"fax_number": "919-791-1990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARON COBHAM DDS AND NICOLE LECANN DDS IV PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2008-05-02",
"status": "A",
"authorized_official_last_name": "LECANN",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-789-8682",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "6970",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "7000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89014NT",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCHC",
"identifier": "014NT",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.