Individual provider Active NPI

Darryl Locklear II, DDS

  • General Practice Dentistry
  • Greensboro, NC
National Provider Identifier
1528626579
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11408 Issued in NC
Practice address
2707 Pinedale Rd Ste B
Greensboro, NC 27408-2020
Phone
(336) 282-4012
NPI assigned
Jun 4, 2019
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11408 NC Primary

Addresses

Primary practice location

2707 Pinedale Rd Ste B
Greensboro, NC 27408-2020

Mailing address

119 Shore Lake Dr Apt K
Greensboro, NC 27455-1471
Phone (910) 734-0871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11408NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Darryl Locklear II DDS PA CurrentSince Jun 23, 2025 Accepting new patients
Darryl Locklear II DDS PA CurrentSince Aug 6, 2023 Accepting new patients
James R Osborne DDS PA Past Accepting new patients

Locations

2707 Pinedale Rd
Ste B
Greensboro, NC 27408
Phone (336) 282-4012

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1528626579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 SHORE LAKE DR APT K",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551471",
            "telephone_number": "910-734-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 PINEDALE RD STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082020",
            "telephone_number": "336-282-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKLEAR",
        "first_name": "DARRYL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.