CAROLINAS CENTER FOR ORAL HEALTH (NPI# 1245470285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245470285 |
Entity Type | Organization |
Organization Name | CAROLINAS CENTER FOR ORAL HEALTH |
Practice Address |
1601 Abbey Pl Suite 220 Charlotte NC 28209-3835 |
Practice Telephone | 7045122110 |
Practice Fax Number | 7045122115 |
Mailing Telephone | 7045122110 |
Mailing Fax Number | 7045122115 |
Enumeration Date | 2009-03-04 |
Last Update Date | 2011-12-21 |
Authorized Official Name | MR. MICHAEL JOHN VANDERBAAN (OPERATIONS MANAGER) |
Authorized Official Telephone | 7045122117 |
Is Organization Subpart | Y |
Parent Organization Name | CAROLINAS HEALTHCARE SYSTEM |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Street Address |
1601 ABBEY PL SUITE 220 |
City | CHARLOTTE |
State | NC |
Zip Code | 28209-3835 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023009321 | James A. Watkins | Preventive Medicine | 1601 Abbey Pl, Ste. 105, Charlotte, NC 28209-3835 | 2005-11-04 |
1427697267 | Kelly M Johnson | Counselor | 1601 Abbey Pl, Charlotte, NC 28209-3835 | 2019-12-26 |
1114476488 | Zoe Zack | Nurse Practitioner | 1601 Abbey Pl, Ste 200, Charlotte, NC 28209-3835 | 2016-09-28 |
1104289685 | The Charlotte-mecklenburg Hospital Authority | Dentist | 1601 Abbey Pl, Ste 220, Charlotte, NC 28209-3835 | 2016-04-01 |
1841604667 | Kymberly Kloefkorn | Nurse Practitioner | 1601 Abbey Pl, Building 2 Suite 200, Charlotte, NC 28209-3835 | 2014-06-19 |
1265787162 | James Watkins | Clinic/Center | 1601 Abbey Pl, Ste 105, Charlotte, NC 28209-3835 | 2012-07-17 |
1700061413 | The Charlotte-mecklenburg Hospital Authority | Durable Medical Equipment & Medical Supplies | 1601 Abbey Pl, Charlotte, NC 28209-3731 | 2008-01-02 |
1023207289 | Ann P. Bezner | Counselor | 1601 Abbey Pl, Suite 110, Charlotte, NC 28209-3835 | 2007-10-23 |
1225235203 | Joel Laudenbach | Dentist | 1601 Abbey Pl, Ste 220, Charlotte, NC 28209-3835 | 2007-07-02 |
1265578074 | Joel Napenas | Dentist | 1601 Abbey Pl, Ste 220, Charlotte, NC 28209-3835 | 2007-01-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194382200 | Christopher Joseph Malara | Occupational Therapy Assistant | 3600 Park Rd, Charlotte, 28209, Nc, Charlotte, NC 28209 | 2019-05-23 |
1982187571 | Elizabeth Black Smith | Dietitian, Registered | 5821 Fairview Road, Suite 216, Charlotte, NC 28209 | 2018-09-11 |
1235611690 | Shearer Counseling Services Pllc | Counselor | 5200 Park Road Ste 200-3, Charlotte, NC 28209 | 2018-09-02 |
1942796396 | Wade Medical Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 4400 Park Rd Unit 315, Charlotte, NC 28209 | 2018-07-09 |
1750803672 | Stephanie Rindner | Behavior Technician | 716 Marsh Road, Charlotte, NC 28209 | 2017-07-12 |
1861939621 | Carolinas Healthcare System | General Acute Care Hospital | 3329 Weston St, Charlotte, NC 28209 | 2017-01-31 |
1275943011 | Cameron Cunningham | Anesthesiology | 1515 Mockingbird Ln Ste 680, Charlotte, NC 28209 | 2014-05-02 |
1013299205 | Digital Ultrasound Associates | Spec/Tech, Cardiovascular | 4450 South Blvd Suite 4, Charlotte, NC 28209 | 2011-09-13 |
1801117676 | Rosemary Nmi Lucas | Physical Therapist | 2910 Selwyn Ave #359, Charlotte, NC 28209 | 2010-06-16 |
1194049767 | Frances Massey Harley | Speech-Language Pathologist | 715 Hartford Avenue, Sedgefield Elementary School, Charlotte, NC 28209 | 2010-03-25 |
Find all providers in zip 28209 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871109041 | Steven D Robertson Dmd, Pa | Clinic/Center | 1613 Montford Dr Ste A, Charlotte, NC 28209-3793 | 2020-09-22 |
1558971408 | Mid Michigan Gentle Dental | Clinic/Center | 114 S Cochran Ave, Charlotte, MI 48813-1510 | 2020-08-05 |
1265050504 | Hammock, Dmd & Lotakis, Dds X, Pllc | Clinic/Center | 9201 S Tryon St Ste A, Charlotte, NC 28273-4239 | 2020-07-13 |
1598398653 | Zammitti Gidaly Abrams Cohen & Associates Iv PC | Clinic/Center | 8631 Arbor Creek Dr Ste D1, Charlotte, NC 28269-0548 | 2020-02-18 |
1700447307 | Nagarani Nagarajan Dds.,pllc | Clinic/Center | 2510 Vista Drive, Suite 100, Charlotte, NC 28212 | 2019-06-25 |
1578021952 | Raghav Sundaresh, Dds, Pllc | Clinic/Center | 620 N Church St Ste 113, Charlotte, NC 28202-3277 | 2019-03-05 |
1790279628 | Bou Mjahed,dds,pllc | Clinic/Center | 328 W Carson Blvd Ste 100, Charlotte, NC 28203-4024 | 2018-06-14 |
1346759644 | Gregory S Reece, Dmd, Pllc | Clinic/Center | 3014 Baucom Rd Ste 100, Charlotte, NC 28269-2393 | 2017-09-29 |
1962936104 | Melissa Marks Gustafson, Dds, Pa | Clinic/Center | 3010 Baucom Rd Ste 200, Charlotte, NC 28269-6765 | 2017-04-14 |
1013457217 | Cook and Associates of North Carolina Pllc | Clinic/Center | 1836 Maryland Ave, Charlotte, NC 28209-1536 | 2017-03-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.