NPIMap

Organization Active NPI

DRS Farrell Farrell Nale Cook Kapitan Mohamed Franco Wessel Howell & K

Doing business as Atlantic Oral Implant & Facial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Charlotte, NC
National Provider Identifier
1598586307
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
DRS FARRELL FARRELL NALE COOK KAPITAN MOHAMED FRANCO WESSEL HOWELL & K
Doing business as
Atlantic Oral Implant & Facial Surgery
Practice address
9335 Blakeney Centre Dr Ste 130
Charlotte, NC 28277-6665
Phone
(704) 541-7761
NPI assigned
Oct 23, 2024
Organization subpart
Yes
Parent organization
DRS FARRELL FARRELL NALE COOK KAPITAN MOHAMED FRANCO WESSEL HOWELL & KAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Mrs. Jennifer Rayle Hock
Title
Director of Payor Relations
Phone
(704) 295-4653

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X Primary

Addresses

Primary practice location

9335 Blakeney Centre Dr Ste 130
Charlotte, NC 28277-6665

Mailing address

5550 77 Center Dr Ste 320
Charlotte, NC 28217-0739
Phone (704) 295-4272

Other names 1

  • Atlantic Oral Implant & Facial Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DRS Farrell Farrell Nale Cook Kapitan Mohamed Franco Wessel Howell K6 organizations share this tax ID, including this one
Part of
DRS Farrell Farrell Nale Cook Kapitan Mohamed Franco Wessel Howell K

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9335 Blakeney Centre Dr
Ste 130
Charlotte, NC 28277
Phone (704) 541-7761

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": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1598586307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 77 CENTER DR STE 320",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282170739",
            "telephone_number": "704-295-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9335 BLAKENEY CENTRE DR STE 130",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776665",
            "telephone_number": "704-541-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS FARRELL FARRELL NALE COOK KAPITAN MOHAMED FRANCO WESSEL HOWELL & K",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DRS FARRELL FARRELL NALE COOK KAPITAN MOHAMED FRANCO WESSEL HOWELL & K",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "HOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "RAYLE",
        "authorized_official_title_or_position": "DIRECTOR OF PAYOR RELATIONS",
        "authorized_official_telephone_number": "704-295-4653",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Oral Implant & Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.