Organization Active NPI

Hugh Ogletree Jr DMD Ms PA

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1487105136
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9841 Issued in NC
Legal business name
HUGH OGLETREE JR DMD MS PA
Practice address
10700 Kettering Dr
Charlotte, NC 28226
Phone
(704) 540-5440
Fax
(704) 540-5441
NPI assigned
Oct 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Authorized official

Name
Mr. Hugh Ogletree Jr., D.M.D.
Title
Dentist/ Owner
Phone
(704) 540-5440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9841 NC Primary

Addresses

Primary practice location

10700 Kettering Dr
Charlotte, NC 28226

Mailing address

10700 Kettering Dr
Charlotte, NC 28226
Phone (704) 540-5440

Other identifiers 3

IdentifierTypeStateIssuer
1487063426MedicaidNC
1225416589MedicaidNC
5910013MedicaidNC

Other names 1

  • Royce Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

10700 Kettering Dr
Charlotte, NC 28226
Phone (704) 540-5440

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1487105136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 KETTERING DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28226",
            "telephone_number": "704-540-5440",
            "fax_number": "704-540-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 KETTERING DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28226",
            "telephone_number": "704-540-5440",
            "fax_number": "704-540-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGH OGLETREE JR DMD MS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "OGLETREE",
        "authorized_official_first_name": "HUGH",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "704-540-5440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487063426",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225416589",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910013",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royce Family Dentistry",
            "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 May 16, 2018; 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.