Organization Active NPI

Hammock, DMD & Lotakis, DDS X, PLLC

  • Dental Clinic/Center
  • Charlotte, NC
National Provider Identifier
1265050504
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HAMMOCK, DMD & LOTAKIS, DDS X, PLLC
Practice address
9201 S Tryon St Ste a
Charlotte, NC 28273-4239
Phone
(704) 588-1627
NPI assigned
Jul 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Authorized official

Name
Clark Hammock, DMDNPI 1730251539
Title
Managing Partner
Phone
(704) 975-1110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9201 S Tryon St Ste a
Charlotte, NC 28273-4239

Mailing address

5821 Fairview Rd Ste 220
Charlotte, NC 28209-5601
Phone (704) 522-1550

Other names 1

  • Dentistry of the Carolinas - Steele Creek Doing business as

National Provider Directory

National Provider Directory

Locations

9201 S Tryon St
Ste A
Charlotte, NC 28273
Phone (704) 588-1627

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1265050504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 FAIRVIEW RD STE 220",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282095601",
            "telephone_number": "704-522-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 S TRYON ST STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734239",
            "telephone_number": "704-588-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMOCK, DMD & LOTAKIS, DDS X, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "HAMMOCK",
        "authorized_official_first_name": "CLARK",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "704-975-1110",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry of the Carolinas - Steele Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 13, 2020; 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.