Active NPI
TMD Cares LLC
- Community/Behavioral Health Agency
- Charlotte, NC
National Provider Identifier
1093685802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TMD CARES LLC
- Practice address
- 11804 Lion Cub LN
Charlotte, NC 28273-4607 - Phone
- (347) 206-3930
- NPI assigned
- Nov 6, 2025
- Last updated
- Nov 6, 2025
- 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
- Sean D Shaw
- Title
- Manager
- Phone
- (347) 206-3930
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
11804 Lion Cub LN
Charlotte, NC 28273-4607
Mailing address
1235 East Blvd Ste E4179
Charlotte, NC 28203-5870
Phone (347) 206-3930
National Provider Directory
National Provider DirectoryLocations
1235 East Blvd
Ste E4179
Charlotte, NC 28203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762387200000",
"number": "1093685802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 EAST BLVD STE E4179",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035870",
"telephone_number": "347-206-3930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11804 LION CUB LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282734607",
"telephone_number": "347-206-3930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TMD CARES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-06",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A",
"authorized_official_last_name": "SHAW",
"authorized_official_first_name": "SEAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "347-206-3930"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.