Organization Active NPI

Richard J Pockat DDS PA

  • Dental Clinic/Center
  • Charlotte, NC
National Provider Identifier
1295907855
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5171 Issued in NC
Legal business name
RICHARD J POCKAT DDS PA
Practice address
425 S Sharon Amity Rd Ste B
Charlotte, NC 28211-2841
Phone
(704) 364-6422
Fax
(704) 364-3511
NPI assigned
Mar 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Dr. Richard John Pockat, DDSNPI 1982705992
Title
President
Phone
(704) 364-3422

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 5171 NC Primary

Addresses

Primary practice location

425 S Sharon Amity Rd Ste B
Charlotte, NC 28211-2841

Mailing address

425 S Sharon Amity Rd Ste B
Charlotte, NC 28211-2841
Phone (704) 364-6422

National Provider Directory

National Provider Directory

Locations

425 S Sharon Amity Rd
Ste B
Charlotte, NC 28211
Phone (704) 364-6422

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": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1295907855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S SHARON AMITY RD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112841",
            "telephone_number": "704-364-6422",
            "fax_number": "704-364-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S SHARON AMITY RD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112841",
            "telephone_number": "704-364-6422",
            "fax_number": "704-364-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J POCKAT DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "POCKAT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-364-3422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "5171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 24, 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.

Verify at the official NPI Registry.