NPIMap

Organization Active NPI

Sharon Cobham,D.D.S. & Nicole Lecann, D.D.S.,V,P.a.

  • General Practice Dentistry
  • Durham, NC
National Provider Identifier
1700948767
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7000
Legal business name
SHARON COBHAM,D.D.S. & NICOLE LECANN, D.D.S.,V,P.A.
Practice address
3608 University Dr.
Suite 104
Durham, NC 27707-6260
Phone
(919) 688-4100
Fax
(919) 688-4333
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Dr. Nicole Lecann, DDS
Title
Owner
Phone
(919) 789-8682

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 6970
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 7000 Primary

Addresses

Primary practice location

3608 University Dr.
Suite 104
Durham, NC 27707-6260

Mailing address

4814 Six Forks Road
Suite 102 Attn Dr Lecann
Raleigh, NC 27609
Phone (919) 783-5550

Other identifiers 2

IdentifierTypeStateIssuer
013E7OtherNCNCHC
89013E7MedicaidNC

National Provider Directory

National Provider Directory

Locations

4814 Six Forks Rd
Ste 102
Raleigh, NC 27609
Phone (919) 783-5550

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": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1700948767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4814 SIX FORKS ROAD",
            "address_2": "SUITE 102 ATTN DR LECANN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27609",
            "telephone_number": "919-783-5550",
            "fax_number": "919-791-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 UNIVERSITY DR.",
            "address_2": "SUITE 104",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076260",
            "telephone_number": "919-688-4100",
            "fax_number": "919-688-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON COBHAM,D.D.S. & NICOLE LECANN, D.D.S.,V,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "LECANN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-789-8682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": "6970",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": "7000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCHC",
            "identifier": "013E7",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013E7",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.