Active NPI
Chriselle Baritua Tiu
- Dentist
- Kannapolis, NC
National Provider Identifier
1043915150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13752
- Practice address
- 582 Kannapolis Pkwy
Kannapolis, NC 28027-8215 - Phone
- (704) 273-5020
- NPI assigned
- Mar 31, 2023
- Last updated
- Oct 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13752 | NC | Primary |
| Dentist | 122300000X | 10751 | SC |
Addresses
Primary practice location
582 Kannapolis Pkwy
Kannapolis, NC 28027-8215
Mailing address
8225 Pineville Matthews Rd Apt a
Charlotte, NC 28226-4735
Phone (386) 546-6810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230830001023 | NC | Order and Referring Only - Dentist | 3779946371 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13752 | NC | MD | Dentist |
| 10751 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alles DDS Kannapolis PLLC | Dentist | Current | Accepting new patients |
| Modlin & Londry Xvi DDS LLC | Past | Accepting new patients | |
| Carolina Family Dentistry at Lake Wylie | Past | Accepting new patients |
Locations
582 Kannapolis Pkwy
Kannapolis, NC 28027
Phone (704) 273-1466
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Carolina Family Dentistry at Rock Hill
- Dental Clinic/Center
- Lake Wylie, SC
- NPI 1629749106
-
dba Carolina Family Dentistry at Lake Wylie
- General Practice Dentistry
- Lake Wylie, SC
- NPI 1508733825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1043915150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8225 PINEVILLE MATTHEWS RD APT A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282264735",
"telephone_number": "386-546-6810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "582 KANNAPOLIS PKWY",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280278215",
"telephone_number": "704-273-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIU",
"first_name": "CHRISELLE",
"middle_name": "BARITUA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-31",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "13752",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "10751",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kannapolis, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.