Active NPI
Prashant Ravi Rao, D.D.S.
- General Practice Dentistry
- Charlotte, NC
National Provider Identifier
1093901647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8322
- Practice address
- 6708 Albermarle Rd
Charlotte, NC 28212 - Phone
- (704) 537-1990
- Fax
- (704) 531-2757
- NPI assigned
- Sep 18, 2007
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8322 | NC | Primary |
Addresses
Primary practice location
6708 Albermarle Rd
Charlotte, NC 28212
Mailing address
202 E Woodlawn Rd
Ste 114
Charlotte, NC 28217-2213
Phone (704) 522-1550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8322 | Other | NC | LICENSE |
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 |
|---|---|---|---|
| 8322 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Walsh DDS PA | General Practice | Past | Accepting new patients |
| John Walsh DDS PA | General Practice | Past | Accepting new patients |
| John Walsh DDS PA | General Practice | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Dentistry of the Carolinas
- General Practice Dentistry
- Charlotte, NC
- NPI 1346476801
-
dba Dentistry of the Carolinas
- General Practice Dentistry
- Statesville, NC
- NPI 1528260767
-
dba Dentistry of the Carolinas
- General Practice Dentistry
- Charlotte, NC
- NPI 1538410873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1093901647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 E WOODLAWN RD",
"address_2": "STE 114",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282172213",
"telephone_number": "704-522-1550",
"fax_number": "704-522-1558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6708 ALBERMARLE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28212",
"telephone_number": "704-537-1990",
"fax_number": "704-531-2757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "PRASHANT",
"middle_name": "RAVI",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-18",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "8322",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "8322",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
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 Mar 7, 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.