NPIMap

Organization Active NPI

Mandy Ghaffarpour DDS,PLLC

  • Dental Clinic/Center
  • Chapel Hill, NC
National Provider Identifier
1063696201
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7133 Issued in NC
Legal business name
MANDY GHAFFARPOUR DDS,PLLC
Practice address
104 N. Elliott Rd Suite C
Chapel Hill, NC 27514
Phone
(919) 942-7163
Fax
(919) 942-8351
NPI assigned
Dec 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Authorized official

Name
Dr. Mandy Ghaffarpour, DDS
Title
Member/ MGR
Phone
(919) 942-7163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7133 NC Primary

Addresses

Primary practice location

104 N. Elliott Rd Suite C
Chapel Hill, NC 27514

Mailing address

104 N. Elliott Rd Suite C
Chapel Hill, NC 27514
Phone (919) 942-7163

Other names 1

  • Studio G Aesthetic & Family dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

104 N Elliott Rd
Ste C
Chapel Hill, NC 27514
Phone (919) 942-7163

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1063696201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N. ELLIOTT RD SUITE C",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27514",
            "telephone_number": "919-942-7163",
            "fax_number": "919-942-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N. ELLIOTT RD SUITE C",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27514",
            "telephone_number": "919-942-7163",
            "fax_number": "919-942-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDY GHAFFARPOUR DDS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "GHAFFARPOUR",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "MEMBER/ MGR",
        "authorized_official_telephone_number": "919-942-7163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "7133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Studio G Aesthetic & Family dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.