NPIMap

Organization Active NPI

Hushang Ghodrat, DDS, PA

Doing business as Oxford Dental Care

  • General Practice Dentistry
  • Oxford, NC
National Provider Identifier
1730380874
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6984 Issued in NC
Legal business name
HUSHANG GHODRAT, DDS, PA
Doing business as
Oxford Dental Care
Practice address
1419 College Street
Suite B
Oxford, NC 27565
Phone
(919) 693-9755
Fax
(919) 693-9067
NPI assigned
May 29, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Jamie M. Brummitt
Title
Office Manager
Phone
(919) 693-9755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6984 NC Primary

Addresses

Primary practice location

1419 College Street
Suite B
Oxford, NC 27565

Mailing address

1419 College Street
Suite B
Oxford, NC 27565
Phone (919) 693-9755

Other identifiers 1

IdentifierTypeStateIssuer
5905168MedicaidNC

Other names 1

  • Oxford Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Butner Creedmoor Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1419 College St
#B
Oxford, NC 27565
Phone (919) 693-9755

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1730380874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 COLLEGE STREET",
            "address_2": "SUITE B",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "27565",
            "telephone_number": "919-693-9755",
            "fax_number": "919-693-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 COLLEGE STREET",
            "address_2": "SUITE B",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "27565",
            "telephone_number": "919-693-9755",
            "fax_number": "919-693-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUSHANG GHODRAT, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "BRUMMITT",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-693-9755"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905168",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oxford Dental Care",
            "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 Jun 17, 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.