Organization Active NPI

Bryan Cobb DDS,Ms

  • Dental Clinic/Center
  • Greensboro, NC
National Provider Identifier
1659549772
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4331 Issued in NC
Legal business name
BRYAN COBB DDS,MS
Practice address
2600 Oakcrest Ave Ste a
Greensboro, NC 27408-1935
Phone
(336) 288-9445
Fax
(336) 288-9491
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Bryan Cobb, DDS.MS
Title
Owner
Phone
(336) 288-9445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4331 NC Primary

Addresses

Primary practice location

2600 Oakcrest Ave Ste a
Greensboro, NC 27408-1935

Mailing address

2600 Oakcrest Ave Ste a
Greensboro, NC 27408-1935
Phone (336) 288-9445

Other identifiers 1

IdentifierTypeStateIssuer
AC7752404OtherBNDD NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1659549772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 OAKCREST AVE STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274081935",
            "telephone_number": "336-288-9445",
            "fax_number": "336-288-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 OAKCREST AVE STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274081935",
            "telephone_number": "336-288-9445",
            "fax_number": "336-288-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN COBB DDS,MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-288-9445",
        "authorized_official_credential": "DDS.MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "4331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BNDD NUMBER",
            "identifier": "AC7752404",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.