Organization Active NPI

Devinn L. Geeson DDS, PLLC

  • General Practice Dentistry
  • Leland, NC
National Provider Identifier
1831600923
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DEVINN L. GEESON DDS, PLLC
Practice address
1215 Westgate Drive
#180
Leland, NC 28451
Phone
(910) 663-1223
NPI assigned
Oct 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Authorized official

Name
Devinn Geeson, DDSNPI 1457730707
Title
Dentist
Phone
(910) 663-1223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 9991 NC
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1215 Westgate Drive
#180
Leland, NC 28451

Mailing address

1065 Sandy Grove PL
Leland, NC 28451-9489
Phone (919) 625-7132

Other identifiers 1

IdentifierTypeStateIssuer
89902E7MedicaidNC

Other names 1

  • Complete Coastal Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1215 West Gate Dr
Ste 180
Leland, NC 28451
Phone (910) 663-1223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1831600923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 SANDY GROVE PL",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284519489",
            "telephone_number": "919-625-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 WESTGATE DRIVE",
            "address_2": "#180",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "28451",
            "telephone_number": "910-663-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINN L. GEESON DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "GEESON",
        "authorized_official_first_name": "DEVINN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "910-663-1223",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9991",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902E7",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Coastal Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Complete Coastal Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.