Organization Active NPI

Flat Rock Family Dentistry

  • General Practice Dentistry
  • Flat Rock, NC
National Provider Identifier
1891372710
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FLAT ROCK FAMILY DENTISTRY
Practice address
520 S Allen Rd Ste 4
Flat Rock, NC 28731-9451
Phone
(828) 693-0911
Fax
(828) 693-9529
NPI assigned
Mar 26, 2021
Last updated
Mar 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Authorized official

Name
Dr. Susan Louise Olcott, DMD, PANPI 1043344328
Title
Dentist/President
Phone
(828) 693-0911

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

520 S Allen Rd Ste 4
Flat Rock, NC 28731-9451

Mailing address

520 S Allen Rd Ste 4
Flat Rock, NC 28731-9451
Phone (828) 693-0911

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1891372710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S ALLEN RD STE 4",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287319451",
            "telephone_number": "828-693-0911",
            "fax_number": "828-693-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S ALLEN RD STE 4",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287319451",
            "telephone_number": "828-693-0911",
            "fax_number": "828-693-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAT ROCK FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "OLCOTT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "828-693-0911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flat Rock, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.