NPIMap

Organization Active NPI

Orthodontic Care of Carolina, PA

Doing business as OrthoCare Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Charlotte, NC
National Provider Identifier
1740539782
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3205 Issued in SC
Legal business name
ORTHODONTIC CARE OF CAROLINA, PA
Doing business as
OrthoCare Orthodontics
Practice address
3010 Baucom Rd
Charlotte, NC 28269
Phone
(704) 509-4999
Fax
(704) 509-4961
NPI assigned
Sep 6, 2012
Last updated
Dec 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Mr. Ford Sawyer Cooper, DDSNPI 1154548436
Title
Owner
Phone
(704) 509-4999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 3205 SC Primary

Addresses

Primary practice location

3010 Baucom Rd
Charlotte, NC 28269

Mailing address

3010 Baucom Rd
Suite 100
Charlotte, NC 28269
Phone (704) 509-4999

Other names 1

  • OrthoCare Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Orthodontic Care of Carolina PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

3010 Baucom Rd
Charlotte, NC 28269
Phone (704) 597-5555

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1740539782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 BAUCOM RD",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28269",
            "telephone_number": "704-509-4999",
            "fax_number": "704-509-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 BAUCOM RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28269",
            "telephone_number": "704-509-4999",
            "fax_number": "704-509-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC CARE OF CAROLINA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "FORD",
        "authorized_official_middle_name": "SAWYER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-509-4999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "3205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoCare Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OrthoCare Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.