Richard John Pockat, D.D.S., M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

5171 Issued in NC

Practice address

425 South Sharon Amity Road
Suite B
Charlotte, NC 28211-2841

Phone

(704) 364-3422

Fax

(704) 364-3511

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Richard J Pockat DDS PA

  • Dental Clinic/Center
  • Charlotte, NC
  • NPI 1295907855
  NPD (past) Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982705992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 SOUTH SHARON AMITY ROAD",
            "address_2": "SUITE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112841",
            "telephone_number": "704-364-3422",
            "fax_number": "704-364-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 SOUTH SHARON AMITY ROAD",
            "address_2": "SUITE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112841",
            "telephone_number": "704-364-3422",
            "fax_number": "704-364-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POCKAT",
        "first_name": "RICHARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "5171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "109607",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "96946",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juanita Plymouth
• PNSS Logistics LLC
• Uliana Pochekutova
• Keith Allen Pochick, M.D.
• Meredith Givens Pochick, MD
• Wendy Pocock, MACC
• Michelle Lee Podboreski Finnin, AU.D.
• Podiatric Health Care
• Evelyn W Poe
• Joshua Poe

• Endodontics in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Endodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.