Forrest Norman III, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6632 Issued in NC

Practice address

200 Queens Rd Ste 310
Charlotte, NC 28204-3257

Phone

(704) 334-5306

Fax

(888) 272-2251

NPI assigned

Aug 17, 2006

Last updated

Mar 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jay J. Coyle DDS & Associates PA

  • Dentist
  • Charlotte, NC
  • NPI 1245452333
  NPD (past)
• William Summerville DDS PLLC

  dba Distinctive Dentistry of Charlotte

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1386681625
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1649384934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 QUEENS RD STE 310",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043257",
            "telephone_number": "704-334-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 QUEENS RD STE 310",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043257",
            "telephone_number": "704-334-5306",
            "fax_number": "888-272-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "FORREST",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "6632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NUMBER",
            "identifier": "9001Q",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901345",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Rae Nordstrom, MD
• Michael Elliott Norins, M.D.
• Thomas J Norkus, PHARM D
• Emma Paige Norman, FNP
• Fiona C. Norman
• Jacqueline Joan Norman, DO
• Lisa M Norman, P.T.
• Nancy Carla Norman, LCSW
• Tammy Williams Norman, PT
• Tracy Norman

• Dentist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.