Individual provider Active NPI

Meghan Melissa Stenvall, DMD

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1093035818
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10866 Issued in NC
Practice address
7251 Pineville Matthews Rd Ste 100
Charlotte, NC 28226-6159
Phone
(704) 542-6533
Fax
(704) 540-1849
NPI assigned
Jun 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10866 NC Primary

Addresses

Primary practice location

7251 Pineville Matthews Rd Ste 100
Charlotte, NC 28226-6159

Mailing address

7251 Pineville Matthews Rd Ste 100
Charlotte, NC 28226-6159
Phone (704) 542-6533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150721002691 VA Order and Referring Only - DentistPractitioner - Dentist 1355654245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10866NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stenvall and Associates, PLLC General Practice CurrentSince Mar 13, 2022 Accepting new patients
Demetrios G. Pourlos, DDS, PA General Practice PastSince Mar 13, 2022 Accepting new patients

Locations

7251 Pineville Matthews Rd
Ste 100
Charlotte, NC 28226
Phone (704) 542-6533

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1093035818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7251 PINEVILLE MATTHEWS RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282266159",
            "telephone_number": "704-542-6533",
            "fax_number": "704-540-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 PINEVILLE MATTHEWS RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282266159",
            "telephone_number": "704-542-6533",
            "fax_number": "704-540-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENVALL",
        "first_name": "MEGHAN",
        "middle_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.