Organization Active NPI

Roupas Sullivan Tremont PLLC-1

  • Dentist
  • Albemarle, NC
National Provider Identifier
1164261939
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ROUPAS SULLIVAN TREMONT PLLC-1
Doing business as
Dogwood Family Dentistry
Practice address
701 N 2ND St
Albemarle, NC 28001-3313
Phone
(704) 982-6312
NPI assigned
May 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Taylor Plyler
Title
Office Manager
Phone
(704) 568-8010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

701 N 2ND St
Albemarle, NC 28001-3313

Mailing address

5833 Phyliss LN
Mint Hill, NC 28227-9031
Phone (704) 568-8010

Other names 1

  • Dogwood Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5833 Phyliss Ln
Mint Hill, NC 28227
Phone (704) 568-8010

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1164261939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 PHYLISS LN",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279031",
            "telephone_number": "704-568-8010",
            "fax_number": "704-563-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 2ND ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013313",
            "telephone_number": "704-982-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUPAS SULLIVAN TREMONT PLLC-1",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "PLYLER",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-568-8010"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dogwood Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.