Organization Active NPI

DRS Groody and Reimels Leland PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Leland, NC
National Provider Identifier
1104657626
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
DRS GROODY AND REIMELS LELAND PLLC
Practice address
117 Village Rd NE Ste H
Leland, NC 28451-3900
Phone
(910) 371-5664
NPI assigned
Aug 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Amanda Groeschel
Title
Director
Phone
(704) 978-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

117 Village Rd NE Ste H
Leland, NC 28451-3900

Mailing address

PO Box 2249
Huntersville, NC 28070-2249
Phone (704) 978-9800

National Provider Directory

National Provider Directory

Locations

117 Village Rd NE
Ste H
Leland, NC 28451
Phone (910) 371-5664

NPI Registry JSON

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1104657626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2249",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280702249",
            "telephone_number": "704-978-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 VILLAGE RD NE STE H",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284513900",
            "telephone_number": "910-371-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS GROODY AND REIMELS LELAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "GROESCHEL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-978-9800"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.