Organization Active NPI

Hammock, DMD & Lotakis, DDS II, PLLC

Doing business as Dentistry of the Carolinas - Southpark

  • Dentist
  • Charlotte, NC
National Provider Identifier
1316404130
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HAMMOCK, DMD & LOTAKIS, DDS II, PLLC
Doing business as
Dentistry of the Carolinas - Southpark
Practice address
5970 Fairview Rd Ste 120
Charlotte, NC 28210-0098
Phone
(704) 523-1462
NPI assigned
Feb 28, 2019
Last updated
Feb 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Authorized official

Name
Simone Walsh
Title
VP Accounts
Phone
(704) 522-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5970 Fairview Rd Ste 120
Charlotte, NC 28210-0098

Mailing address

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

Other names 1

  • Dentistry of the Carolinas - Southpark Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1316404130",
    "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": "5970 FAIRVIEW RD STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282100098",
            "telephone_number": "704-523-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMOCK, DMD & LOTAKIS, DDS II, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "VP ACCOUNTS",
        "authorized_official_telephone_number": "704-522-1550"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry of the Carolinas - Southpark",
            "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 Feb 28, 2019; 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.