Organization Active NPI

Balasanyan & Associates PLLC

Doing business as LandMark Dentistry of Mallard Creek

  • Dentist
  • Charlotte, NC
National Provider Identifier
1205234028
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8861 Issued in NC
Legal business name
BALASANYAN & ASSOCIATES PLLC
Doing business as
LandMark Dentistry of Mallard Creek
Practice address
1824 E Arbors Dr
Suite 380
Charlotte, NC 28262-2692
Phone
(704) 697-1190
NPI assigned
Dec 10, 2014
Last updated
Dec 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
Dr. Armen Balasanyan
Title
Partner
Phone
(704) 347-2557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8861 NC Primary

Addresses

Primary practice location

1824 E Arbors Dr
Suite 380
Charlotte, NC 28262-2692

Mailing address

300 Billingsley Rd Ste 202
Charlotte, NC 28211-3092
Phone (704) 347-2557

Other names 1

  • LandMark Dentistry of Mallard Creek Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Balasanyan Associates PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

300 Billingsley Rd
Ste 202
Charlotte, NC 28211
Phone (704) 347-2557

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1205234028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BILLINGSLEY RD STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113092",
            "telephone_number": "704-347-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 E ARBORS DR",
            "address_2": "SUITE 380",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622692",
            "telephone_number": "704-697-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALASANYAN & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "BALASANYAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "704-347-2557",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "8861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LandMark Dentistry of Mallard Creek",
            "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 Dec 10, 2014; 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.