Organization Active NPI

Roger G. Tans, D.D.S., P.a.

  • Exclusive Provider Organization
  • Charlotte, NC
National Provider Identifier
1124291166
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
5189 Issued in NC
Legal business name
ROGER G. TANS, D.D.S., P.A.
Practice address
3121 Springbank LN Ste D
Charlotte, NC 28226-3347
Phone
(704) 341-0016
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Dr. Roger G Tans, D.D.S.NPI 1578643110
Title
Owner
Phone
(704) 341-0016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 5189 NC Primary

Addresses

Primary practice location

3121 Springbank LN Ste D
Charlotte, NC 28226-3347

Mailing address

3121 Springbank LN Ste D
Charlotte, NC 28226-3347
Phone (704) 341-0016

National Provider Directory

National Provider Directory

Locations

3121 Springbank Ln
Ste D
Charlotte, NC 28226
Phone (704) 341-0016

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1124291166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 SPRINGBANK LN STE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263347",
            "telephone_number": "704-341-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 SPRINGBANK LN STE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263347",
            "telephone_number": "704-341-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER G. TANS, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "TANS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-341-0016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NC",
            "license": "5189",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 10, 2008; 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.