Organization Active NPI

Pinnix and Betancourt PLLC

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1649388489
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7882 Issued in NC
Legal business name
PINNIX AND BETANCOURT PLLC
Practice address
8918 Blakeney Professional Drive
Suite 100
Charlotte, NC 28277
Phone
(704) 543-1102
Fax
(704) 543-1028
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Dr. George Alexander Betancourt, D.M.D.NPI 1508940826
Title
Dentist/Co-President/Co-Owner
Phone
(704) 543-1102

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 7882 NC Primary

Addresses

Primary practice location

8918 Blakeney Professional Drive
Suite 100
Charlotte, NC 28277

Mailing address

8918 Blakeney Professional Drive
Suite 100
Charlotte, NC 28277
Phone (704) 543-1102

Other identifiers 5

IdentifierTypeStateIssuer
1508940826OtherNCGEORGE A. BETANCOURT, DMD
1811169022OtherNCTHOMAS D. GRIMES, DDS
1215109426OtherNCADVANCED DENTISTRY
1396828380OtherNCCHRISTOPHER PHELPS, DMD
1962571984OtherNCJOHN PINNIX, DMD

Other names 1

  • Advanced Dentistry of Blakeney Doing business as

National Provider Directory

National Provider Directory

Locations

8918 Blakeney Professional Dr
Ste 100
Charlotte, NC 28277
Phone (704) 543-1102

Practitioners & affiliated clinicians

Practitioners 2

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": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1649388489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8918 BLAKENEY PROFESSIONAL DRIVE",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-543-1102",
            "fax_number": "704-543-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8918 BLAKENEY PROFESSIONAL DRIVE",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-543-1102",
            "fax_number": "704-543-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNIX AND BETANCOURT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "DENTIST/CO-PRESIDENT/CO-OWNER",
        "authorized_official_telephone_number": "704-543-1102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGE A. BETANCOURT, DMD",
            "identifier": "1508940826",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THOMAS D. GRIMES, DDS",
            "identifier": "1811169022",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED DENTISTRY",
            "identifier": "1215109426",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHRISTOPHER PHELPS, DMD",
            "identifier": "1396828380",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN PINNIX, DMD",
            "identifier": "1962571984",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dentistry of Blakeney",
            "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 Feb 15, 2012; 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.