Active NPI
Mark Reliquias, DMD
- Dentist
- Charlotte, NC
National Provider Identifier
1215779483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13740
- Practice address
- 3210 Wilkinson Blvd Unit B2
Charlotte, NC 28208-5662 - Phone
- (704) 900-5445
- NPI assigned
- Jun 10, 2024
- Last updated
- Jun 12, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13740 | NC | Primary |
Addresses
Primary practice location
3210 Wilkinson Blvd Unit B2
Charlotte, NC 28208-5662
Mailing address
1115 S Mint St Apt 524
Charlotte, NC 28203-4099
Phone (662) 528-3815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13740 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rajdeepsinh Dolia, DMD PLLC | Dentist | Current | Accepting new patients |
| Rajdeepsinh Dolia, DMD PLLC 2 | Dentist | Current | Accepting new patients |
Locations
3210 Wilkinson Blvd
Unit B2
Charlotte, NC 28208
Phone (704) 900-5445
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1215779483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 S MINT ST APT 524",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282034099",
"telephone_number": "662-528-3815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3210 WILKINSON BLVD UNIT B2",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282085662",
"telephone_number": "704-900-5445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RELIQUIAS",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-10",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "13740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
- Reliance Home Health Services LLC
- Reliant Medical Equipment Distributors
- Relieve Home Care
- Relife Haven LLC
- Geoffrey Bryan Reliquias, PT, DPT
- Relymd Medical Group NC, PLLC (RelyMD Medical Group)
- Remarkable Impressions Inc.
- Wilhelmenia I. Rembert, LCSW
- Remedi Seniorcare of Charlotte, LLC
- Remedy Love Homecare LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.