Chris Randolph Cockrell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12103 Issued in NC

Practice address

131 Montgomery Xing
Biscoe, NC 27209-9592

Phone

(910) 428-2048

Fax

(910) 428-2328

NPI assigned

Mar 12, 2007

Last updated

Mar 17, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lane and Associates IX DDS PA

  • General Practice Dentistry
  • Biscoe, NC
  • NPI 1679626832
  NPD

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1770615858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MONTGOMERY XING",
            "city": "BISCOE",
            "state": "NC",
            "postal_code": "272099592",
            "telephone_number": "910-428-2048",
            "fax_number": "910-428-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MONTGOMERY XING",
            "city": "BISCOE",
            "state": "NC",
            "postal_code": "272099592",
            "telephone_number": "910-428-2048",
            "fax_number": "910-428-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKRELL",
        "first_name": "CHRIS",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DA031005",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Nelson Buckland, PA-C
• Carolina Quickcare Family Practice, PLLC (Carolina QuickCare Family Practice)
• Deahdra Chambers, MA, LPC
• Karen Chavis Clark, RPH
• Pushp Kumar Claudius, MD
• Laderria De Freitas
• Johnda Reynolds Farlow, PHARMD
• FHPG, LLC (Montgomery County School Based Health Center-East)
• FHPG, LLC
• Firsthealth Dental Care Center

• General Practice Dentistry in Biscoe, NC
• Providers in Biscoe, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.