NPIMap

Organization Active NPI

Carolina Comfort Dental

  • Dentist
  • Fayetteville, NC
National Provider Identifier
1609265842
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CAROLINA COMFORT DENTAL
Practice address
5511 Raeford Rd
Suite #225
Fayetteville, NC 28304-2057
Phone
(910) 485-0023
NPI assigned
Jan 12, 2015
Last updated
Jan 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Authorized official

Name
Dr. Patrick Sean O'Brien, DMDNPI 1568422681
Title
Owner
Phone
(910) 485-0023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

5511 Raeford Rd
Suite #225
Fayetteville, NC 28304-2057

Mailing address

5511 Raeford Rd
Suite #225
Fayetteville, NC 28304-2057
Phone (910) 485-0023

National Provider Directory

National Provider Directory

Locations

5511 Raeford Rd
Ste 225
Fayetteville, NC 28304
Phone (910) 485-0023

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": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1609265842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 RAEFORD RD",
            "address_2": "SUITE #225",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042057",
            "telephone_number": "910-485-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5511 RAEFORD RD",
            "address_2": "SUITE #225",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042057",
            "telephone_number": "910-485-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA COMFORT DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-485-0023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.