Organization Active NPI

Hammock, DMD & Lotakis, DDS III, PLLC

Doing business as Dentistry of the Carolinas - Gastonia

  • Dentist
  • Gastonia, NC
National Provider Identifier
1538626361
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HAMMOCK, DMD & LOTAKIS, DDS III, PLLC
Doing business as
Dentistry of the Carolinas - Gastonia
Practice address
2641 Court Dr Ste B
Gastonia, NC 28054-1478
Phone
(704) 824-6988
NPI assigned
Feb 28, 2019
Last updated
Feb 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Authorized official

Name
Simone Walsh
Title
VP - Accounts
Phone
(704) 522-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

2641 Court Dr Ste B
Gastonia, NC 28054-1478

Mailing address

5821 Fairview Rd Ste 220
Charlotte, NC 28209-5601
Phone (704) 522-1550

Other names 1

  • Dentistry of the Carolinas - Gastonia Doing business as

National Provider Directory

National Provider Directory

Locations

2641 Court Dr
Ste B
Gastonia, NC 28054
Phone (704) 824-6988

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1538626361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 FAIRVIEW RD STE 220",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282095601",
            "telephone_number": "704-522-1550",
            "fax_number": "704-445-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 COURT DR STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541478",
            "telephone_number": "704-824-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMOCK, DMD & LOTAKIS, DDS III, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "VP -  ACCOUNTS",
        "authorized_official_telephone_number": "704-522-1550"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry of the Carolinas - Gastonia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.