NPIMap

Organization Active NPI

Ali Shahrestani, D.M.D., PLLC

Doing business as Piper Glen Dental Group

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1194591289
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ALI SHAHRESTANI, D.M.D., PLLC
Doing business as
Piper Glen Dental Group
Practice address
6414 Rea Rd Ste C5
Charlotte, NC 28277-4165
Phone
(704) 704-2499
Fax
(704) 326-4181
NPI assigned
Nov 29, 2023
Last updated
Nov 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Ali Shahrestani, DDS
Title
Owner
Phone
(704) 704-2499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6414 Rea Rd Ste C5
Charlotte, NC 28277-4165

Mailing address

PO Box 920050
Dallas, TX 75392-0050

Other names 1

  • Piper Glen Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ali Shahrestani DMD PLLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6414 Rea Rd
Ste C5
Charlotte, NC 28277
Phone (704) 704-2499

Practitioners & affiliated clinicians

Practitioners 1

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": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1194591289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6414 REA RD STE C5",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774165",
            "telephone_number": "704-704-2499",
            "fax_number": "704-326-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI SHAHRESTANI, D.M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "SHAHRESTANI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-704-2499",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piper Glen Dental Group",
            "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 Nov 29, 2023; 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.