Organization Active NPI

Rea Farms Pediatric Dentistry Partnership

  • Pediatric Dentistry
  • Charlotte, NC
National Provider Identifier
1205694866
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
REA FARMS PEDIATRIC DENTISTRY PARTNERSHIP
Practice address
11210 Golf Links Dr N
Suite 202
Charlotte, NC 28277
Phone
(704) 343-5998
Fax
(704) 612-6920
NPI assigned
Mar 8, 2024
Last updated
Jul 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Dr. Stephanie Atlas Hukill, DDSNPI 1295097772
Title
Pediatric Dentist
Phone
(704) 458-2093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

11210 Golf Links Dr N
Suite 202
Charlotte, NC 28277

Mailing address

11210 Golf Links Dr N Ste 202
Charlotte, NC 28277-8049
Phone (704) 343-5998

National Provider Directory

National Provider Directory

Locations

11210 Golf Links Dr N
Ste 202
Charlotte, NC 28277
Phone (704) 343-5998

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": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1205694866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11210 GOLF LINKS DR N STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778049",
            "telephone_number": "704-343-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11210 GOLF LINKS DR N",
            "address_2": "SUITE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-343-5998",
            "fax_number": "704-612-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REA FARMS PEDIATRIC DENTISTRY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "HUKILL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ATLAS",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "704-458-2093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 24, 2025; 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.