NPIMap

Organization Active NPI

Bateman & Neubauer, D.D.S., PLLC

Doing business as Park Crossing Dentistry

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1972956092
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NC9561 Issued in NC
Legal business name
BATEMAN & NEUBAUER, D.D.S., PLLC
Doing business as
Park Crossing Dentistry
Practice address
10009 Park Cedar Dr
Suite 200
Charlotte, NC 28210-8920
Phone
(704) 541-5059
Fax
(704) 541-5060
NPI assigned
Jul 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Authorized official

Name
Dr. Joshua Peter Neubauer, D.D.S.NPI 1114084860
Title
Dentist
Phone
(704) 207-4010

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X NC9561 NC Primary

Addresses

Primary practice location

10009 Park Cedar Dr
Suite 200
Charlotte, NC 28210-8920

Mailing address

10009 Park Cedar Dr
Suite 200
Charlotte, NC 28210-8920
Phone (704) 541-5059

Other names 1

  • Park Crossing Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

10009 Park Cedar Dr
Ste 200
Charlotte, NC 28210
Phone (704) 541-5059

Practitioners & affiliated clinicians

Practitioners 5

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": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1972956092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10009 PARK CEDAR DR",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108920",
            "telephone_number": "704-541-5059",
            "fax_number": "704-541-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10009 PARK CEDAR DR",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108920",
            "telephone_number": "704-541-5059",
            "fax_number": "704-541-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATEMAN & NEUBAUER, D.D.S., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "NEUBAUER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "704-207-4010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC9561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Crossing Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 14, 2016; 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.