Organization Active NPI

Sharon J Cobham DDS Nicole Lecann DDS & Assoc PA

  • General Practice Dentistry
  • Apex, NC
National Provider Identifier
1497816581
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7000
Legal business name
SHARON J COBHAM DDS NICOLE LECANN DDS & ASSOC PA
Practice address
1001 W Williams St Suite 101
Apex Medical Park
Apex, NC 27502
Phone
(919) 303-2887
Fax
(919) 363-3933
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Nicole Lecann, DDS
Title
Owner
Phone
(919) 789-8682

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 6970
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 7000 Primary

Addresses

Primary practice location

1001 W Williams St Suite 101
Apex Medical Park
Apex, NC 27502

Mailing address

4814 Six Forks Road
Suite 102 Attn Dr Lecann
Raleigh, NC 27609
Phone (919) 783-5550

Other identifiers 2

IdentifierTypeStateIssuer
89016H9MedicaidNC
016H9OtherNCNCHC

National Provider Directory

National Provider Directory

Locations

1001 W Williams St
Ste 101
Apex, NC 27502
Phone (919) 303-2887

Practitioners & affiliated clinicians

Practitioners 2

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1497816581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4814 SIX FORKS ROAD",
            "address_2": "SUITE 102 ATTN DR LECANN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27609",
            "telephone_number": "919-783-5550",
            "fax_number": "919-791-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W WILLIAMS ST SUITE 101",
            "address_2": "APEX MEDICAL PARK",
            "city": "APEX",
            "state": "NC",
            "postal_code": "27502",
            "telephone_number": "919-303-2887",
            "fax_number": "919-363-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON J COBHAM DDS NICOLE LECANN DDS & ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "LECANN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-789-8682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": "6970",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": "7000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89016H9",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCHC",
            "identifier": "016H9",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.