Active NPI
Robert F Overcash Jr., DDS
- Dentist
- Albemarle, NC
National Provider Identifier
1629071436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3816
- Practice address
- 229 N 1St St
Albemarle, NC 28001-3902 - Phone
- (704) 982-5811
- Fax
- (704) 982-5686
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3816 | NC | Primary |
Addresses
Primary practice location
229 N 1St St
Albemarle, NC 28001-3902
Mailing address
229 N 1St St
PO Box 867
Albemarle, NC 28001-3902
Phone (704) 982-5811
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3816 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629071436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 N 1ST ST",
"address_2": "PO BOX 867",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013902",
"telephone_number": "704-982-5811",
"fax_number": "704-982-5686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 N 1ST ST",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013902",
"telephone_number": "704-982-5811",
"fax_number": "704-982-5686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERCASH",
"first_name": "ROBERT",
"middle_name": "F",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "3816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albemarle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.