Organization Active NPI

G. Abrams and R. Cohen Xxi PC

Doing business as Dynamic Dental of SouthEnd

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1447993399
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
G. ABRAMS AND R. COHEN XXI PC
Doing business as
Dynamic Dental of SouthEnd
Practice address
2041 South Blvd Ste C-2
Charlotte, NC 28203-5062
Phone
(704) 246-8971
NPI assigned
Apr 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Jeff Cohen
Title
Coo
Phone
(704) 246-8971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2041 South Blvd Ste C-2
Charlotte, NC 28203-5062

Mailing address

2041 South Blvd Ste C-2
Charlotte, NC 28203-5062
Phone (704) 916-9970

Other names 1

  • Dynamic Dental of SouthEnd Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address beth@friendlydentalgroup.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1447993399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 SOUTH BLVD STE C-2",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035062",
            "telephone_number": "704-916-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 SOUTH BLVD STE C-2",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035062",
            "telephone_number": "704-246-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. ABRAMS AND R. COHEN XXI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "704-246-8971"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "beth@friendlydentalgroup.com",
            "affiliation": "N",
            "endpointDescription": "Secure Server",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2041 South Blvd Ste C-2",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282035062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dynamic Dental of SouthEnd",
            "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 Sep 13, 2022; 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.