LISA ATLAS CANDON (NPI# 1649625518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649625518 |
| Entity Type | Individual |
| Full Name | LISA ATLAS CANDON |
| Other Name | LISA MARIE ATLAS |
| Credential | DDS |
| Practice Address |
2700 Coltsgate Rd Ste 204 Charlotte NC 28211-3573 |
| Mailing Address |
11119 Ascoli Pl Charlotte NC 28277-4121 |
| Practice Telephone | 7047495700 |
| Mailing Telephone | 7047638188 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2018-11-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
30.024996 | OH | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
10913 | NC | Dental Providers |
| Street Address |
2700 COLTSGATE RD STE 204 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-3573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568840403 | Carson Rutledge | Dentist | 2700 Coltsgate Rd Ste 204, Charlotte, NC 28211-3573 | 2015-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336607340 | Arpita Patel, Dmd, Pa | Dentist | 2400 South Blvd Ste 100, Charlotte, NC 28203-5773 | 2019-03-08 |
| 1598247579 | S. Vakil Dds Ms I, Pa | Dentist | 6331 Carmel Rd Ste 101, Charlotte, NC 28226-8246 | 2018-09-05 |
| 1366971384 | Young and Polite Young Dds Pa | Dentist | 3010 Baucom Rd Ste 100, Charlotte, NC 28269-6767 | 2017-06-05 |
| 1174972756 | Brandy Edmonds | Dentist | 2630 W Arrowood Rd Ste C, Charlotte, NC 28273-6263 | 2016-06-06 |
| 1487032850 | John Michael Bakarich | Dentist | 7741 Ballantyne Commons Pkwy Ste 101, Charlotte, NC 28277-4140 | 2015-05-18 |
| 1568840403 | Carson Rutledge | Dentist | 2700 Coltsgate Rd Ste 204, Charlotte, NC 28211-3573 | 2015-05-12 |
| 1578962254 | Sonam Shah Patel | Dentist | 17214 Lancaster Hwy Ste 301, Charlotte, NC 28277-2093 | 2014-08-18 |
| 1215343421 | Marcela Mujica Dmd | Dentist | 2630 W Arrowood Rd, Suite C, Charlotte, NC 28273-6134 | 2014-07-08 |
| 1841626835 | R. Corey Snow, Dmd and Jason K. Snow, Dds, Pllc | Dentist | 2620 Central Ave, Charlotte, NC 28205-5335 | 2013-09-23 |
| 1427344357 | Oscar Nzita Mvula | Dentist | 1515 Mainline Blvd, Apt 7202, Charlotte, NC 28203-0521 | 2011-06-20 |
| Find all providers in CHARLOTTE | ||||
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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.