Individual provider Active NPI

Nadia Teresa Santoro, DMD

  • General Practice Dentistry
  • Chapel Hill, NC
National Provider Identifier
1174254676
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10633 Issued in SC
Practice address
Tarrson Hall 385 S Columbia St
Chapel Hill, NC 27599-5007
Phone
(919) 537-3404
NPI assigned
Jun 23, 2022
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10633 SC
General Practice Dentistry 1223G0001X 10633 SC Primary

Addresses

Primary practice location

Tarrson Hall 385 S Columbia St
Chapel Hill, NC 27599-5007

Mailing address

4577 Mixson Ave
North Charleston, SC 29405-5109

Other practice location 1

1015 Creekside Medical Dr
York, SC 29745-8624
Phone (803) 681-2883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240813001558 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5890238901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10633SCMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: nsantoro1157977@direct.unc.nchie.net

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1174254676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4577 MIXSON AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294055109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TARRSON HALL 385 S COLUMBIA ST",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275995007",
            "telephone_number": "919-537-3404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Creekside Medical Dr",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "SC",
            "postal_code": "297458624",
            "country_code": "US",
            "telephone_number": "803-681-2883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTORO",
        "first_name": "NADIA",
        "middle_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "10633",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "10633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.