Active NPI
Pinnix and Betancourt PLLC
- General Practice Dentistry
- Charlotte, NC
National Provider Identifier
1649388489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7882
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | |||
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508940826 | Other | NC | GEORGE A. BETANCOURT, DMD |
| 1811169022 | Other | NC | THOMAS D. GRIMES, DDS |
| 1215109426 | Other | NC | ADVANCED DENTISTRY |
| 1396828380 | Other | NC | CHRISTOPHER PHELPS, DMD |
| 1962571984 | Other | NC | JOHN PINNIX, DMD |
Other names 1
- Advanced Dentistry of Blakeney
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Charlotte, NC
- NPI 1508940826
-
- General Practice Dentistry
- Charlotte, NC
- NPI 1962571984
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.