Active NPI
Navaneetha Hanumanthappa, DMD
- Dentist
- Monroe, NC
National Provider Identifier
1073374468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14396
- Practice address
- 2897 W Highway 74
Monroe, NC 28110-8434 - Phone
- (980) 497-0966
- NPI assigned
- Jan 22, 2024
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 14396 | NC | Primary |
Addresses
Primary practice location
2897 W Highway 74
Monroe, NC 28110-8434
Mailing address
15645 Greythorne Dr Apt 108
Charlotte, NC 28277-4761
Phone (980) 253-5058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14396 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1073374468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15645 GREYTHORNE DR APT 108",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282774761",
"telephone_number": "980-253-5058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2897 W HIGHWAY 74",
"city": "MONROE",
"state": "NC",
"postal_code": "281108434",
"telephone_number": "980-497-0966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANUMANTHAPPA",
"first_name": "NAVANEETHA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-22",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "14396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.