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DR. BOBBY LEE COCKERHAM III D.D.S, M.S.D
NPI 1689969016
Dentist - Periodontics in Charlotte, NC

Active since June 14, 2011PECOS Enrolled
6719 FAIRVIEW RD, CHARLOTTE, NC 28210(704) 366-2774 Get Directions Write a Review

NPPES record last updated: September 13, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bobby Lee Cockerham Iii D.d.s, M.s.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BOBBY LEE COCKERHAM III D.D.S, M.S.D (NPI 1689969016) is an individual periodontics provider in Charlotte, North Carolina, licensed in North Carolina (9124) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689969016
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. BOBBY LEE COCKERHAM IIICredential: D.D.S, M.S.D
Location Address6719 FAIRVIEW RDCharlotte, NC 28210-3879
Mailing Address6719 Fairview RdCharlotte, NC 28210-3879 · (704) 366-2774
Phone(704) 366-2774
Sole ProprietorYes
Enumeration DateJune 14, 2011
Last NPPES UpdateSeptember 13, 2018
✔ NPI 1689969016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NC · 9124
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

6719 FAIRVIEW RD, Charlotte, NC 28210
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1514 N Broome StWaxhaw, NC 28173-7376 · Phone (704) 919-0454
Location 2929 Market StFort Mill, SC 29708-6443 · Phone (803) 547-0304

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bobby Lee Cockerham Iii D.d.s, M.s.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

B.L. COCKERHAM III & ASSOCIATES PLLC
Dentist (Periodontics)
6719 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 366-2774
DR. RICHARD E OFFUTT III DDS
Dentist (Periodontics)
6719 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 366-2774
RICHARD E. OFFUTT, DDS, PA
Dentist (Periodontics)
6719 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 366-2774
ASHLEY ALEXANDRA PATER
Dentist (Periodontics)
6719 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 366-2774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bobby Cockerham's NPI number?

The NPI number for Bobby Cockerham is 1689969016. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Where is Bobby Cockerham located?

Bobby Cockerham practices at 6719 Fairview Rd, Charlotte, NC 28210. The listed phone number is (704) 366-2774.

What is Bobby Cockerham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Bobby Cockerham enrolled in Medicare?

Yes. Bobby Cockerham is registered in the Medicare PECOS enrollment system.

What insurance does Bobby Cockerham accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 13 other insurers list Bobby Cockerham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bobby Cockerham was last updated on September 13, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.