Wiley Simeon Cozart III, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5073 Issued in NC

Practice address

344 Gallimore Rd
Brevard, NC 28712-8874

Phone

(828) 884-4433

Fax

(828) 884-7875

NPI assigned

Oct 27, 2006

Last updated

Sep 3, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cozart & Associates PLLC, Wiley Simeon Cozart III Sole MBR

  • General Practice Dentistry
  • Brevard, NC
  • NPI 1487950549
  NPD (past) Authorized official

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1477639250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 GALLIMORE RD",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287128874",
            "telephone_number": "828-884-4433",
            "fax_number": "828-884-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 GALLIMORE RD",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287128874",
            "telephone_number": "828-884-4433",
            "fax_number": "828-884-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COZART",
        "first_name": "WILEY",
        "middle_name": "SIMEON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91840",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County of Transylvania (Transylvania County Department of Public Health)
• County of Transylvania
• Colin Covelli, ATC
• Joseph Lawrence Cowart, DMD
• Cozart & Associates PLLC, Wiley Simeon Cozart III Sole MBR
• Caitlin Brooks Craig, LPCA, NCC
• Mark E Creasman, BS, CGP
• Create Research, Inc
• Crystal Watts LLC
• Stephany Lynne Cutler, LCSW

• General Practice Dentistry in Brevard, NC
• Providers in Brevard, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.