Cedar Walk Family and Cosmetic Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8322 Issued in NC

Legal business name

CEDAR WALK FAMILY AND COSMETIC DENTISTRY

Practice address

16615 Riverstone Way
Suite 200
Charlotte, NC 28277-5746

Phone

(704) 542-9923

NPI assigned

Jun 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Prashant Ravi Rao, D.D.S.

Title

Owner

Phone

(704) 443-7379

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ryan Le, DMD, MBA, MMB

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1083275820
  NPD (past)

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

{
    "created_epoch": "1213488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213488000000",
    "number": "1154581932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 GRIMMERSBOROUGH LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282703714",
            "telephone_number": "704-443-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16615 RIVERSTONE WAY",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282775746",
            "telephone_number": "704-542-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR WALK FAMILY AND COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-15",
        "last_updated": "2008-06-15",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "PRASHANT",
        "authorized_official_middle_name": "RAVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-443-7379",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Ceballos, PH.D.
• Ivana Ceballos
• Mark Cebul, PT, DPT, CSCS
• Rachael Jan Cecka, PA-C
• Cedar Tree Empowerment Center LLC
• Angelica Mariel Cedeno Robles, LCSW
• Cedric Dean Holdings Inc.
• Cedric Dean Holdings, Inc.
• David M Cefaly Jr., PT
• Ceicare International Contractors of America

• 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 Jun 15, 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.