Active NPI
DRS Groody and Reimels PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Mooresville, NC
National Provider Identifier
1073297396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.