Organization Active NPI

DRS Groody and Reimels PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mooresville, NC
National Provider Identifier
1073297396
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
DRS GROODY AND REIMELS PLLC
Practice address
136 Rocky River Rd
Mooresville, NC 28115
Phone
(704) 782-2630
NPI assigned
Jun 15, 2023
Last updated
Jun 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Amanda Noelle Groeschel
Title
Director
Phone
(704) 978-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

136 Rocky River Rd
Mooresville, NC 28115

Mailing address

136 Rocky River Rd
Mooresville, NC 28115

National Provider Directory

National Provider Directory

Locations

136 Rocky River Rd
Mooresville, NC 28115
Phone (704) 782-2630

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1073297396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 ROCKY RIVER RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 ROCKY RIVER RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28115",
            "telephone_number": "704-782-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS GROODY AND REIMELS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "GROESCHEL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "NOELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-978-9800"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.