Organization Active NPI

Sidney W. Sockwell,DDS, PA

  • General Practice Dentistry
  • Oxford, NC
National Provider Identifier
1669685137
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5850 Issued in NC
Legal business name
SIDNEY W. SOCKWELL,DDS, PA
Practice address
111 E Industry Dr
Oxford, NC 27565-3559
Phone
(919) 693-8922
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Dr. Sidney WM. Sockwell, DDSNPI 1760571434
Title
Owner
Phone
(919) 693-8922

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5850 NC Primary

Addresses

Primary practice location

111 E Industry Dr
Oxford, NC 27565-3559

Mailing address

PO Box 1142
111 East Industry Drive
Oxford, NC 27565-1142
Phone (919) 693-8922

Other identifiers 5

IdentifierTypeStateIssuer
5799OtherNCLICENSE NUMBER
91694OtherNCBCBS PROVIDER ID NUMBER
97978OtherNCBCBS PROVIDER ID NUMBER
156887OtherNCUNITED CONCORDIA PROVIDER
5850OtherNCLICENSE NUMBER

Other names 1

  • Drs. Marcella & Sid Sockwell Doing business as

National Provider Directory

National Provider Directory

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1669685137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1142",
            "address_2": "111 EAST INDUSTRY DRIVE",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275651142",
            "telephone_number": "919-693-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E INDUSTRY DR",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653559",
            "telephone_number": "919-693-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDNEY W. SOCKWELL,DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "SOCKWELL",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "WM.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-693-8922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "5799",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID NUMBER",
            "identifier": "91694",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID NUMBER",
            "identifier": "97978",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "156887",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "5850",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Marcella & Sid Sockwell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.