Active NPI
Cheryl R Locklear, DDS
- General Practice Dentistry
- Red Springs, NC
National Provider Identifier
1205044799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4659
- Practice address
- 239 S. Main Street
Red Springs, NC 28377 - Phone
- (910) 843-4262
- Fax
- (910) 843-1238
- NPI assigned
- May 18, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4659 | NC | Primary |
Addresses
Primary practice location
239 S. Main Street
Red Springs, NC 28377
Mailing address
PO Box 231
Red Springs, NC 28377-0231
Phone (910) 843-4262
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805789 | Other | NC | UNITED CONCORDIA |
| 890179W | Medicaid | NC | |
| 8995366 | Medicaid | NC | |
| 805879 | Other | NC | TRICARE |
| 95366 | Other | NC | BLUECROSS BLUESHIELD |
| ZQG105 | Other | NC | BCBS OF MASS |
| 95366 | Other | NC | NC STATE HEALTHPLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4659 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare, Inc. | Past | Accepting new patients | |
| Cheryl R. Locklear, DDS | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Red Springs, NC
- NPI 1609044106
-
- Dental Clinic/Center
- Red Springs, NC
- NPI 1003371675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1205044799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 231",
"city": "RED SPRINGS",
"state": "NC",
"postal_code": "283770231",
"telephone_number": "910-843-4262",
"fax_number": "910-843-1238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 S. MAIN STREET",
"city": "RED SPRINGS",
"state": "NC",
"postal_code": "28377",
"telephone_number": "910-843-4262",
"fax_number": "910-843-1238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKLEAR",
"first_name": "CHERYL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "4659",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "805789",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890179W",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8995366",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "805879",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "95366",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MASS",
"identifier": "ZQG105",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC STATE HEALTHPLAN",
"identifier": "95366",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Red Springs, NC
- Life Opportunities Therapeutic Home Services LLC (Life Opportunities Behavioral Health Services)
- Life Solutions
- Life Solutions Attending
- Amber Locklear
- Bethany Locklear
- Kenneth Edward Locklear, M.D.
- Kimberly Michelle Locklear, FNP
- Shakelah Beth Locklear
- Loving Tree Center, LLC
- Jada Brooke Lowry, PHYSICIAN ASSISTANT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.