Active NPI
Balasanyan & Associates PLLC
Doing business as LandMark Dentistry of Mallard Creek
- Dentist
- Charlotte, NC
National Provider Identifier
1205234028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8861
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Balasanyan Associates PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba LandMark Dentistry of Wesley Chapel
- Dentist
- Wesley Chapel, NC
- NPI 1780082461
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.