Herman Bryan Cobb, D.D.S.,M.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

NC 4331 Issued in NC

Practice address

2600 Oakcrest Ave
BLDG a
Greensboro, NC 27408-1934

Phone

(336) 288-9445

Fax

(336) 288-9491

NPI assigned

Dec 12, 2005

Last updated

Jul 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1255316360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 STAUNTON DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274106065",
            "telephone_number": "336-292-5912",
            "fax_number": "336-288-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 OAKCREST AVE",
            "address_2": "BLDG A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274081934",
            "telephone_number": "336-288-9445",
            "fax_number": "336-288-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "HERMAN",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-12",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "4331",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "NC 4331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BNDD NUMBER",
            "identifier": "AC7752404",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91680",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Sean Coates, D.D.S
• Jane Coats
• Cobb Chiropractic Clinic PA
• Austin Cobb
• Blair Winslow Cobb, MSW LCSW
• Jennifer Gale Cobb, MSW, LCSW
• Katherine Virginia Cobb, FNP-BC
• Numa Cobb III, DDS
• Shane Cobb, D.C.
• Sharone L Cobb, RN, MPH

• Pediatric Dentistry in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.