NPIMap

Organization Active NPI

Tadrissi DDS, PLLC

Doing business as Queen City Endodontics - South Charlotte

  • Endodontics
  • Charlotte, NC
National Provider Identifier
1083525687
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
TADRISSI DDS, PLLC
Doing business as
Queen City Endodontics - South Charlotte
Practice address
8912 Blakeney Professional Dr Ste 300
Charlotte, NC 28277-6735
Phone
(980) 833-1214
NPI assigned
Sep 14, 2026
Organization subpart
Yes
Parent organization
TADRISSI DDS, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Michaela Muniz
Title
VP, Payor Relations
Phone
(469) 324-3242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

8912 Blakeney Professional Dr Ste 300
Charlotte, NC 28277-6735

Mailing address

8912 Blakeney Professional Dr Ste 300
Charlotte, NC 28277-6735
Phone (980) 833-1214

Other names 1

  • Queen City Endodontics - South Charlotte Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carolina Mountain Endodontics7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1083525687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8912 BLAKENEY PROFESSIONAL DR STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776735",
            "telephone_number": "980-833-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8912 BLAKENEY PROFESSIONAL DR STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776735",
            "telephone_number": "980-833-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TADRISSI DDS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TADRISSI DDS, PLLC",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queen City Endodontics - South Charlotte",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.