Individual provider Active NPI

Joseph Sean Fortkort, DDS

  • General Practice Dentistry
  • Mebane, NC
National Provider Identifier
1427931237
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14366 Issued in NC
Practice address
1242 S Fifth St Ste D
Mebane, NC 27302-9756
Phone
(919) 304-1666
Fax
(919) 304-1698
NPI assigned
Jul 29, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14366 NC Primary

Addresses

Primary practice location

1242 S Fifth St Ste D
Mebane, NC 27302-9756

Mailing address

1242 S Fifth St Ste D
Mebane, NC 27302-9756
Phone (919) 304-1666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260504006579 NC Order and Referring Only - DentistPractitioner - Dentist 1658849104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14366NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Zhanying Guo DDS PA Past Accepting new patients
Lane and Associates Xxxi DDS PA General Practice PastSince Oct 23, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1427931237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 S FIFTH ST STE D",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029756",
            "telephone_number": "919-304-1666",
            "fax_number": "919-304-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 S FIFTH ST STE D",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029756",
            "telephone_number": "919-304-1666",
            "fax_number": "919-304-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTKORT",
        "first_name": "JOSEPH",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-29",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "14366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mebane, NC

Sources for this page

Verify at the official NPI Registry.