NPIMap

Organization Active NPI

USA Dentac

  • Dental Clinic/Center
  • Fort Bragg, NC
National Provider Identifier
1528514387
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
USA DENTAC
Practice address
2817 Rielly Road
Fort Bragg, NC 28310
Phone
(910) 643-2196
NPI assigned
Aug 31, 2016
Organization subpart
Yes
Parent organization
DENTAC HQSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Charles Bernatovitz, BSD
Title
HSS
Phone
(910) 643-2196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2817 Rielly Road
Fort Bragg, NC 28310

Mailing address

2817 Rielly Road
Fort Bragg, NC 28310
Phone (910) 643-2196

National Provider Directory

National Provider Directory
Part of
Community Care Services

Practitioners & affiliated clinicians

Practitioners 3

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": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1528514387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 RIELLY ROAD",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "28310",
            "telephone_number": "910-643-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 RIELLY ROAD",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "28310",
            "telephone_number": "910-643-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA DENTAC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAC HQS",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "BERNATOVITZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "HSS",
        "authorized_official_telephone_number": "910-643-2196",
        "authorized_official_credential": "BSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bragg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.