Organization Active NPI

Cozart & Associates PLLC, Wiley Simeon Cozart III Sole MBR

  • General Practice Dentistry
  • Brevard, NC
National Provider Identifier
1487950549
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5073 Issued in NC
Legal business name
COZART & ASSOCIATES PLLC, WILEY SIMEON COZART III SOLE MBR
Practice address
344 Gallimore Road
Brevard, NC 28712-8874
Phone
(828) 884-4433
Fax
(828) 884-7875
NPI assigned
Feb 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Authorized official

Name
Wiley Simeon Cozart IIINPI 1477639250
Title
Owner
Phone
(828) 884-4433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5073 NC Primary

Addresses

Primary practice location

344 Gallimore Road
Brevard, NC 28712-8874

Mailing address

344 Gallimore Rd
Brevard, NC 28712-8874
Phone (828) 884-4433

Other identifiers 1

IdentifierTypeStateIssuer
7991840MedicaidNC

National Provider Directory

National Provider Directory

Locations

344 Gallimore Rd
Brevard, NC 28712
Phone (828) 884-4433

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1487950549",
    "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 ROAD",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287128874",
            "telephone_number": "828-884-4433",
            "fax_number": "828-884-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COZART & ASSOCIATES PLLC, WILEY SIMEON COZART III SOLE MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "COZART",
        "authorized_official_first_name": "WILEY",
        "authorized_official_middle_name": "SIMEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-884-4433",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7991840",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brevard, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.