Organization Active NPI

Michael O Reimels DDS & Khalil Mjahed DDS PLLC

  • General Practice Dentistry
  • Monroe, NC
National Provider Identifier
1205278751
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9511 Issued in NC
Legal business name
MICHAEL O REIMELS DDS & KHALIL MJAHED DDS PLLC
Practice address
1307 E Franklin St
Monroe, NC 28112-5196
Phone
(704) 978-9800
NPI assigned
Jul 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Authorized official

Name
Amanda Groeschel
Title
Director
Phone
(704) 978-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9511 NC Primary

Addresses

Primary practice location

1307 E Franklin St
Monroe, NC 28112-5196

Mailing address

PO Box 2249
Huntersville, NC 28070-2249

Other names 1

  • Monroe Family Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1205278751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2249",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280702249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 E FRANKLIN ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125196",
            "telephone_number": "704-978-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL O REIMELS DDS & KHALIL MJAHED DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "GROESCHEL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-978-9800"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.