MECKLENBURG COUNTY (NPI# 1639195241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639195241 |
| Entity Type | Organization |
| Organization Name | MECKLENBURG COUNTY |
| Other Organization Name | MECKLENBURG COUNTY DENTISTRY |
| Practice Address |
1801 Rozzelles Ferry Rd Charlotte NC 28208-4228 |
| Practice Telephone | 7043507305 |
| Practice Fax Number | 7043507304 |
| Mailing Telephone | 7043507305 |
| Mailing Fax Number | 7043507304 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2012-12-13 |
| Authorized Official Name | EARL WINTERS MABRY (HEALTH DIRECTOR) |
| Authorized Official Telephone | 7043362299 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities | ||
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC HEALTH CHOICE GROUP # | 015N0 | 01 |
| NC | 89015N0 | 05 |
| Other Name | Type Code |
|---|---|
| Mecklenburg County Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396814331 | Mecklenburg County | Public Health or Welfare | 3205 Freedom Dr Ste 7500, Charlotte, NC 28208-3490 | 2006-11-06 |
| 1356876890 | Mecklenburg County | Clinic/Center | 249 Billingsley Rd, Charlotte, NC 28211-1003 | 2017-04-21 |
| 1063694222 | Mecklenburg County | Clinic/Center | 249 Billingsley Rd, Charlotte, NC 28211-1003 | 2007-11-29 |
| 1902093826 | Mecklenburg County | Community/Behavioral Health | 429 Billingsley Rd, Charlotte, NC 28211-1007 | 2007-09-25 |
| 1619091709 | Mecklenburg County | Case Management | 249 Billingsley Rd, Charlotte, NC 28211-1003 | 2007-03-16 |
| 1063554517 | Mecklenburg County | Clinic/Center | 249 Billingsley Rd, Charlotte, NC 28211-1003 | 2007-02-13 |
| 1972645422 | Mecklenburg County | Clinic/Center | 249 Billingsley Rd, Charlotte, NC 28211-1003 | 2007-02-13 |
| 1134261688 | Mecklenburg County | Clinic/Center | 249 Billingsley Rd, Charlotte, NC 28211-1003 | 2007-02-13 |
| 1043352594 | Mecklenburg County | Clinic/Center | 249 Billingsley Rd, Charlotte, NC 28211-1003 | 2007-02-13 |
| 1477694313 | Mecklenburg County | Case Management | 249 Billingsley Rd, Charlotte, NC 28211-1003 | 2007-02-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MECKLENBURG COUNTY BUSINESS-EDUCATION PARTNERSHIP INC. | 449 Ferry Hill Trail, Clarksville, Virginia 23927 |
| Virginia Business Entities | Mecklenburg County Community Services Corp. | 1567 Noblin Farm Rd, Clarksville, Virginia 23927-3137 |
| Virginia Business Entities | MECKLENBURG COUNTY FARM BUREAU INC. | Po Box 277, Boydton, Virginia 23917 |
| Virginia Business Entities | Mecklenburg County Life Saving & Rescue Squad Inc. | 25 Burlington Dr, P O Box 1539, Clarksville, Virginia 23927 |
| Virginia Business Entities | Mecklenburg County Public Library Foundation Incorporated | P.o. Box 10, 1294 Jefferson Street, Boydton, Virginia 23917 |
| Connecticut Business Registrations | MECKLENBURG COUNTY RECYCLING, INC. | 25 Greens Hill Lane, Rutland, VT 05701 |
| Street Address |
1801 ROZZELLES FERRY RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28208-4228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346200359 | John Joseph Dugan Jr. | Family Medicine | 1801 Rozzelles Ferry Rd, Charlotte, NC 28208-4228 | 2006-03-24 |
| 1780293407 | Alexis Robinson | Pharmacist | 1801 Rozzelles Ferry Rd, Charlotte, NC 28208-4228 | 2020-07-28 |
| 1417518622 | Lauren Campbell | Pharmacist | 1801 Rozzelles Ferry Rd, Charlotte, NC 28208-4228 | 2019-06-27 |
| 1073095741 | Tamara Baldwin Thomas | Social Worker | 1801 Rozzelles Ferry Rd, Charlotte, NC 28208-4228 | 2018-08-30 |
| 1508202508 | Laura Paye | Family Medicine | 1801 Rozzelles Ferry Rd, Charlotte, NC 28208-4228 | 2013-05-16 |
| 1669818662 | Douglas Meardon | Family Medicine | 1801 Rozzelles Ferry Rd, Charlotte, NC 28208-4228 | 2013-05-16 |
| 1023392032 | Meagan Bystrzycki | Physician Assistant | 1801 Rozzelles Ferry Rd, Charlotte, NC 28208-4228 | 2011-10-10 |
| 1881917771 | Stephanie Hopson | Pharmacist | 1801 Rozzelles Ferry Rd, Charlotte, NC 28208-4228 | 2010-03-05 |
| 1801023726 | Christina Garcia | Family Medicine | 1801 Rozzelles Ferry Rd, Charlotte, NC 28208-4228 | 2009-06-18 |
| 1558597369 | Shivonne Suttles | Family Medicine | 1801 Rozzelles Ferry Rd, Charlotte, NC 28208-4228 | 2009-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1750929659 | Tru Pearl Solution Services Pllc | Community/Behavioral Health | 2128 Remount Road Suite B, Charlotte, NC 28208 | 2019-12-11 |
| 1245880699 | Camilla A Raley | Technician | 1539 Walton Rd, Charlotte, NC 28208 | 2019-09-18 |
| 1912567041 | Nolan Scott Blake | In Home Supportive Care | 4926 Ridgeley Dr., Suite B, Charlotte, NC 28208 | 2019-06-20 |
| 1699244145 | Catalyst Chiropractic, Pllc | Chiropractor | 2620 Tuckaseegee Rd., Charlotte, NC 28208 | 2018-11-14 |
| 1255854691 | Jessica Lynne Hunter | Social Worker | 2011 Water Walk Lane Apt 209, Charlotte, NC 28208 | 2017-07-18 |
| 1700311420 | Matthew Christian Mundorf | Chiropractor | 2620 Tuckaseegee Rd, Charlotte, NC 28208 | 2017-05-01 |
| 1700235439 | Erin Merchant | Counselor | 2016 Millerton Avenue, #2213, Charlotte, NC 28208 | 2016-06-03 |
| 1528432564 | Monika Sheree Moore | Counselor | 3205 Freedom Dr, Charlotte, NC 28208 | 2015-11-13 |
| 1205224540 | Phadality Home Care | Home Health | 201 S Hoskins Rd., Suite 119, Charlotte, NC 28208 | 2015-01-08 |
| Find all providers in zip 28208 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437321148 | Lawrence A. Sladek, Dds | Dentist | 7332 Matthews Mint Hill Rd., Charlotte, NC 28227 | 2008-04-02 |
| 1962549758 | Chelita Kaye Kelley | Dentist | 1801 Rozzelles Ferry Rd, Pediatric Dentistry, Charlotte, NC 28208-4228 | 2007-01-31 |
| 1013065796 | Tiky Kytasha Swain | Dentist | 8420 University Exec Park Dr, Suite 805, Charlotte, NC 28262-1344 | 2007-01-08 |
| 1144240854 | Gary R Kushner | Dentist | 1801 Rozzelles Ferry Rd, Charlotte, NC 28208-4228 | 2006-07-19 |
| 1790701308 | Hani M Aboufoul | Dentist | 1801 Rozzelles Ferry Rd, Charlotte, NC 28208-4228 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677754 | Dr. Roman and Associates II, Pllc | Dentist | 913 E Broad St, Fuquay Varina, NC 27526-1960 | 2020-07-23 |
| 1700319035 | Kaaenaat Mustafa | Dentist | 228 Billingrath Turn Ln, Cary, NC 27519-2908 | 2017-04-04 |
| 1275072134 | Rutherford Polk Mcdowell Health District | Dentist | 221 Callahan-koon Rd, Spindale, NC 28160-1614 | 2017-02-13 |
| 1659636736 | Douglas Sconia Sanford Jr. | Dentist | 127 Kingston Dr, Chapel Hill, NC 27514-1650 | 2012-07-05 |
| 1699077800 | Robert Craig | Dentist | 104c Adair Dr, Goldsboro, NC 27530-4516 | 2010-11-19 |
| 1881827046 | Jenny Swartz Weston | Dentist | 612 Pasteur Dr Ste 101, Greensboro, NC 27403-1120 | 2009-09-03 |
| 1255594412 | Robert Thomas Leddy | Dentist | 130 Fairway Dr, Rutherfordton, NC 28139-3208 | 2008-07-08 |
| 1588827257 | Pamela Rouse | Dentist | 5918 Nc 39 Hwy South, Bunn, NC 27508 | 2008-07-03 |
| 1578776316 | Theodore Hamlin Brooks | Dentist | 108 Clark Lake Rd, Durham, NC 27707-9557 | 2007-05-08 |
| 1063531747 | Tom Donnelly | Dentist | 355 Old Glenwood Rd., Marion, NC 28752 | 2007-03-27 |
| Find all providers with the same taxonomy | ||||
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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.