Individual provider Active NPI

Sladjana Bjelac, DDS

  • Dentist
  • Matthews, NC
National Provider Identifier
1003433814
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11904 Issued in NC
Practice address
3320 Siskey Pkwy Ste 100
Matthews, NC 28105-3224
Phone
(704) 708-4402
NPI assigned
Jun 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11904 NC Primary

Addresses

Primary practice location

3320 Siskey Pkwy Ste 100
Matthews, NC 28105-3224

Mailing address

5734 Faulconbridge Rd
Charlotte, NC 28227-2521
Phone (704) 307-9455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11904NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Dental Wellness CurrentSince Jun 12, 2022 Accepting new patients
M. Avey & Associates NC PC VII CurrentSince Aug 2, 2020 Accepting new patients
Sladjana Bjelac DDS PLLC Dentist CurrentSince Jul 3, 2022 Accepting new patients
Ryan C Woodman DMD and Victoria L Malz DMD PLLC PastSince Jun 28, 2020 Accepting new patients

Locations

2701 Coltsgate Rd
Ste 104
Charlotte, NC 28211
Phone (704) 366-8707

3320 Siskey Pkwy
Ste 100
Matthews, NC 28105
Phone (704) 708-4402

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1003433814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5734 FAULCONBRIDGE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282272521",
            "telephone_number": "704-307-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 SISKEY PKWY STE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281053224",
            "telephone_number": "704-708-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJELAC",
        "first_name": "SLADJANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.