Active NPI
Adam Geoffrey Danze, DDS, MS
- Dentist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11268
- Practice address
- 2935 Providence Rd Ste 200
Charlotte, NC 28211-2763 - Phone
- (704) 397-1450
- NPI assigned
- Jan 31, 2019
- Last updated
- Oct 26, 2022
- 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 | 11268 | NC | Primary |
Addresses
Primary practice location
2935 Providence Rd Ste 200
Charlotte, NC 28211-2763
Mailing address
700 Wingrave Dr
Charlotte, NC 28270-5934
Phone (704) 975-1735
Other practice location 1
4200 Main St Ste 107
Harrisburg, NC 28075-7485
Phone (704) 454-5500
Other practice location 2
8840 Blakeney Professional Dr Ste 202
Charlotte, NC 28277-6718
Phone (704) 454-5500
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11268 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adam Danze, DDS, Ms, PLLC | Current | Accepting new patients | |
| Jeffrey Chad Johnson DDS PLLC | Past | Accepting new patients |
Locations
2935 Providence Rd
Ste 200
Charlotte, NC 28211
Phone (704) 397-1450
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.
-
dba Providence Pediatric Dentistry & Orthodontics
- Dental Clinic/Center
- Charlotte, NC
- NPI 1811614209
-
dba Chad Johnson Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Charlotte, NC
- NPI 1528514726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1235694548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 WINGRAVE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282705934",
"telephone_number": "704-975-1735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2935 PROVIDENCE RD STE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112763",
"telephone_number": "704-397-1450"
}
],
"practiceLocations": [
{
"address_1": "4200 Main St Ste 107",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "NC",
"postal_code": "280757485",
"country_code": "US",
"telephone_number": "704-454-5500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8840 Blakeney Professional Dr Ste 202",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282776718",
"country_code": "US",
"telephone_number": "704-454-5500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANZE",
"first_name": "ADAM",
"middle_name": "GEOFFREY",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-31",
"last_updated": "2022-10-26",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "11268",
"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 Oct 26, 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.