Sousan Amiri, D.D.S., P.a

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOUSAN AMIRI, D.D.S., P.A

Practice address

8001 N Tryon St
Charlotte, NC 28262-3410

Phone

(704) 769-2523

Fax

(888) 975-7633

NPI assigned

Feb 22, 2019

Organization subpart

No

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

Authorized official

Name

Sousan Amiri, DDS

Title

Owner

Phone

(704) 769-2523

Specialties & licenses 1

Addresses

Other names 1

• Sosuan Amiri DDS PA Former legal business name

Tax ID family

Royal Dental Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sousan Amiri, D.D.S., P.a

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1083187355
  NPD tax ID

Locations

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1114484516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 N TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623410",
            "telephone_number": "704-769-2523",
            "fax_number": "888-975-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 N TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623410",
            "telephone_number": "704-769-2523",
            "fax_number": "888-975-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUSAN AMIRI, D.D.S., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "AMIRI",
        "authorized_official_first_name": "SOUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-769-2523",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sosuan Amiri DDS PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.