NPIMap

Organization Active NPI

Clara Lucia Nunez-Romero, DDS PLLC

Doing business as Dentist-Salud

  • Dental Clinic/Center
  • Charlotte, NC
National Provider Identifier
1144643347
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
9221 Issued in NC
Legal business name
CLARA LUCIA NUNEZ-ROMERO, DDS PLLC
Doing business as
Dentist-Salud
Practice address
2331 Crownpoint Executive Dr
Suite a
Charlotte, NC 28227-7825
Phone
(704) 705-4744
Fax
(980) 339-8524
NPI assigned
Jan 24, 2014
Last updated
Jan 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Authorized official

Name
Clara Lucia Nunez-Romero, DDSNPI 1073808259
Title
President/Dentist
Phone
(704) 705-4744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 9221 NC Primary

Addresses

Primary practice location

2331 Crownpoint Executive Dr
Suite a
Charlotte, NC 28227-7825

Mailing address

2331 Crownpoint Executive Dr
Suite a
Charlotte, NC 28227-7825
Phone (704) 705-4744

Other identifiers 3

IdentifierTypeStateIssuer
1811285349MedicaidNC
1073808259MedicaidNC
1942596788MedicaidNC

Other names 1

  • Dentist-Salud Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clara Lucia Nunez-Romero DDS PLLC2 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.

Locations

2331 Crownpoint Executive Dr
Ste A
Charlotte, NC 28227
Phone (704) 704-4744

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1144643347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 CROWNPOINT EXECUTIVE DR",
            "address_2": "SUITE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277825",
            "telephone_number": "704-705-4744",
            "fax_number": "980-339-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 CROWNPOINT EXECUTIVE DR",
            "address_2": "SUITE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277825",
            "telephone_number": "704-705-4744",
            "fax_number": "980-339-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARA LUCIA NUNEZ-ROMERO, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "NUNEZ-ROMERO",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "LUCIA",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "704-705-4744",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "9221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811285349",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073808259",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942596788",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentist-Salud",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 24, 2014; 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.