Individual provider Active NPI

Georges Isaac

  • Dentist
  • Chapel Hill, NC
National Provider Identifier
1215635206
Registry record updated May 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401419736 Issued in VA
Practice address
385 S Columbia St
Chapel Hill, NC 27514-4309
Phone
(919) 537-3737
NPI assigned
Feb 20, 2023
Last updated
May 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401419736 VA Primary
Dentist 122300000X DS044194 PA
Dentist 122300000X 39633 TX
Dentist 122300000X 22DI03005600 NJ
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

385 S Columbia St
Chapel Hill, NC 27514-4309

Mailing address

1500 Locust St Apt 3412
Philadelphia, PA 19102-4341
Phone (469) 835-3673

Other practice location 1

423 Sicklerville Rd
Sicklerville, NJ 08081-2555
Phone (856) 728-9200

Other practice location 2

10524 Spotsylvania Ave
Fredericksburg, VA 22408-8611
Phone (154) 089-1991

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

LicenseStateTypeSpecialty
22DI03005600NJMDDentist
DS044194PAMDDentist
39633TXMDDentist
0401419736VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Unc School of Dentistry Dentist Past Accepting new patients
Adams School of Dentistry PastSince Jul 7, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778284800000",
    "number": "1215635206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LOCUST ST APT 3412",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024341",
            "telephone_number": "469-835-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 S COLUMBIA ST",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144309",
            "telephone_number": "919-537-3737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "423 Sicklerville Rd",
            "address_purpose": "LOCATION",
            "city": "Sicklerville",
            "state": "NJ",
            "postal_code": "080812555",
            "country_code": "US",
            "telephone_number": "856-728-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10524 Spotsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224088611",
            "country_code": "US",
            "telephone_number": "154-089-1991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "GEORGES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-20",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401419736",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS044194",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39633",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI03005600",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.