Individual provider Active NPI

Sharon Jovanna Cobham, D.D.S.

  • General Practice Dentistry
  • Winston Salem, NC
National Provider Identifier
1679791198
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6970 Issued in NC
Practice address
2912 Maplewood Ave
Winston Salem, NC 27103-4010
Phone
(336) 765-8940
Fax
(919) 882-8780
NPI assigned
Apr 22, 2007
Last updated
Mar 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6970 NC Primary

Addresses

Primary practice location

2912 Maplewood Ave
Winston Salem, NC 27103-4010

Mailing address

2728 Ann Elizabeth Dr
Burlington, NC 27215-5111
Phone (336) 765-8940

Other identifiers 1

IdentifierTypeStateIssuer
899011FMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6970NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cobham & Associates, PLLC General Practice Current Accepting new patients

Locations

2728 Ann Elizabeth Dr
Burlington, NC 27215
Phone (336) 586-1919

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1679791198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 ANN ELIZABETH DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155111",
            "telephone_number": "336-765-8940",
            "fax_number": "919-882-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 MAPLEWOOD AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034010",
            "telephone_number": "336-765-8940",
            "fax_number": "919-882-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBHAM",
        "first_name": "SHARON",
        "middle_name": "JOVANNA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-22",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899011F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.