Chad Jeremy Vanourny, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9269 Issued in NC

Practice address

13557 Steelecroft Pkwy Ste 2400
Charlotte, NC 28278

Phone

(704) 594-8496

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Chad J Vanourny DDS, PLLC

  • Dentist
  • Charlotte, NC
  • NPI 1588089650
  NPD Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1003947615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SUNRISE POINT RD",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297109230",
            "telephone_number": "319-331-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13557 STEELECROFT PKWY STE 2400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28278",
            "telephone_number": "704-594-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANOURNY",
        "first_name": "CHAD",
        "middle_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "6983",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08425",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert W Vanlanen, DDS
• Haley Ki'Les Vann
• Hillary Hamm Vann, LPC,RPT
• Yakeika Lynette Vann, DDS
• Jamie Vano, NP
• Heather Scerbo Vanstory, DPT
• Noah Thomas Vanwingerden, MD
• Melissa Vanwyk, LCSW, LCAS
• Tracy Hembree Vanzura, CRNA
• Athrisa Varahabhatla, PHARMD

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.