Organization Active NPI

R. Holt Foushee, DDS, Ms

  • Dental Clinic/Center
  • Charlotte, NC
National Provider Identifier
1639386162
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5012 Issued in NC
Legal business name
R. HOLT FOUSHEE, DDS, MS
Practice address
10320 Mallard Creek Rd
Suite 140
Charlotte, NC 28262-9756
Phone
(704) 593-1900
Fax
(704) 593-1806
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Holt Foushee, DDS, MSNPI 1518040310
Title
Owner
Phone
(704) 593-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5012 NC Primary

Addresses

Primary practice location

10320 Mallard Creek Rd
Suite 140
Charlotte, NC 28262-9756

Mailing address

10320 Mallard Creek Rd
Suite 140
Charlotte, NC 28262-9756
Phone (704) 593-1900

National Provider Directory

National Provider Directory

Locations

10320 Mallard Creek Rd
Ste 140
Charlotte, NC 28262
Phone (704) 593-1900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639386162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 MALLARD CREEK RD",
            "address_2": "SUITE 140",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282629756",
            "telephone_number": "704-593-1900",
            "fax_number": "704-593-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 MALLARD CREEK RD",
            "address_2": "SUITE 140",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282629756",
            "telephone_number": "704-593-1900",
            "fax_number": "704-593-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. HOLT FOUSHEE, DDS, MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOUSHEE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "HOLT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-593-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "5012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.