Peter Bergen Lockhart, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5730 Issued in NC

Practice address

1608 Scott Ave
Charlotte, NC 28203-5848

Phone

(704) 355-4841

NPI assigned

Oct 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750461869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 CHAUCER DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104871",
            "telephone_number": "704-556-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 SCOTT AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035848",
            "telephone_number": "704-355-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKHART",
        "first_name": "PETER",
        "middle_name": "BERGEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "5730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8995368",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deasha Ayona Lockhart
• Demetrius A Lockhart
• Lauren Rennick Lockhart, D.D.S
• Lonnie Edward Lockhart, MSW, LCSWA
• Patricia Lockhart, MSW LCSW
• Kamryn Annette Locklear, LCSW-A
• Erika Lee Lodgek, MD
• Nilesh Ishwarlal Lodhia, MD
• Tara Beth Lods, MD
• Bryan Jeffrey Loeffler, MD

• Dentist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.