Organization Active NPI

Gustavo a Delgado DMD PLLC

  • Public Health Dentistry
  • Charlotte, NC
National Provider Identifier
1215670468
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
GUSTAVO A DELGADO DMD PLLC
Practice address
7340 Smith Corners Blvd Ste 600
Charlotte, NC 28269-3769
Phone
(910) 387-2126
NPI assigned
Apr 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Authorized official

Name
Benjamin Tuinei
Title
Credentialing Manager
Phone
(602) 750-6897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

7340 Smith Corners Blvd Ste 600
Charlotte, NC 28269-3769

Mailing address

7340 Smith Corners Blvd Ste 600
Charlotte, NC 28269-3769
Phone (910) 387-2126

National Provider Directory

National Provider Directory

Locations

7340 Smith Corners Blvd
Ste 600
Charlotte, NC 28269
Phone (910) 387-2126

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1215670468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7340 SMITH CORNERS BLVD STE 600",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693769",
            "telephone_number": "910-387-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 SMITH CORNERS BLVD STE 600",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693769",
            "telephone_number": "910-387-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAVO A DELGADO DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "TUINEI",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "602-750-6897"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "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 Apr 15, 2022; 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.