Active NPI
George Philip Haig, DDS
- General Practice Dentistry
- Charlotte, NC
National Provider Identifier
1801892476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 51431
- Practice address
- 491 N Wendover Rd
Charlotte, NC 28211-1064 - Phone
- (704) 540-5400
- Fax
- (704) 364-5293
- NPI assigned
- Jun 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 51431 | CA | Primary |
| General Practice Dentistry | 1223G0001X | 10161 | NC |
Addresses
Primary practice location
491 N Wendover Rd
Charlotte, NC 28211-1064
Mailing address
491 N Wendover Rd
Charlotte, NC 28211-1064
Phone (704) 540-5400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10161 | Other | NC | NORTH CAROLINA DENTAL LICENSE |
| 51431 | Other | CA | CALIFORNIA DENTAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51431 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jay J. Coyle DDS & Associates PA | Past | Accepting new patients | |
| William Summerville DDS PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Charlotte, NC
- NPI 1245452333
-
dba Distinctive Dentistry of Charlotte
- General Practice Dentistry
- Charlotte, NC
- NPI 1386681625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490054400000",
"number": "1801892476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "491 N WENDOVER RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111064",
"telephone_number": "704-540-5400",
"fax_number": "704-364-5293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "491 N WENDOVER RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111064",
"telephone_number": "704-540-5400",
"fax_number": "704-364-5293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIG",
"first_name": "GEORGE",
"middle_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2017-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "51431",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "10161",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA DENTAL LICENSE",
"identifier": "10161",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA DENTAL LICENSE",
"identifier": "51431",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}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 Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.