Active NPI
Vaibhav Bajaj, DMD
- Dentist
- Charlotte, NC
National Provider Identifier
1154866770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11066
- Practice address
- 13739 Steele Creek Rd Unit 100
Charlotte, NC 28273-7139 - Phone
- (732) 692-9860
- NPI assigned
- Jan 5, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1857483 | MA | |
| Dentist | 122300000X | 11066 | NC | Primary |
Addresses
Primary practice location
13739 Steele Creek Rd Unit 100
Charlotte, NC 28273-7139
Mailing address
13739 Steele Creek Rd Unit 100
Charlotte, NC 28273-7139
Phone (732) 692-9860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1857483 | MA | MD | Dentist |
| 11066 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1154866770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13739 STEELE CREEK RD UNIT 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282737139",
"telephone_number": "732-692-9860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13739 STEELE CREEK RD UNIT 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282737139",
"telephone_number": "732-692-9860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAJAJ",
"first_name": "VAIBHAV",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-05",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1857483",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "11066",
"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 Sep 25, 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.