Individual provider Active NPI

Adam Geoffrey Danze, DDS, MS

  • Dentist
  • Charlotte, NC
National Provider Identifier
1235694548
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11268 Issued in NC
Practice address
2935 Providence Rd Ste 200
Charlotte, NC 28211-2763
Phone
(704) 397-1450
NPI assigned
Jan 31, 2019
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
11268NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adam Danze, DDS, Ms, PLLC CurrentSince Oct 30, 2022 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.

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.

Verify at the official NPI Registry.