Carolinas Center for Oral Health

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CAROLINAS CENTER FOR ORAL HEALTH

Practice address

1601 Abbey PL
Suite 220
Charlotte, NC 28209-3835

Phone

(704) 512-2110

Fax

(704) 512-2115

NPI assigned

Mar 4, 2009

Organization subpart

Yes

Parent organization

CAROLINAS HEALTHCARE SYSTEMAs reported in NPPES

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

Authorized official

Name

Mr. Michael John Vanderbaan

Title

Operations Manager

Phone

(704) 512-2117

Specialties & licenses 1

Addresses

Part of

Ctr for Mental Health

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1245470285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 ABBEY PL",
            "address_2": "SUITE 220",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093835",
            "telephone_number": "704-512-2110",
            "fax_number": "704-512-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ABBEY PL",
            "address_2": "SUITE 220",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093835",
            "telephone_number": "704-512-2110",
            "fax_number": "704-512-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS CENTER FOR ORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS HEALTHCARE SYSTEM",
        "enumeration_date": "2009-03-04",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "VANDERBAAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "704-512-2117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina'S Creative Counseling, PA
• Carolina'S Spine and Sports Treatment Center, PLLC
• Carolinas Cancer Care PA
• Carolinas Care Trips LLC
• Carolinas Care, LLC
• Carolinas Comfort Transportation LLC
• Carolinas Community Services
• Carolinas Community Services
• Carolinas Community Services Enterprise
• Carolinas Connections Home Health

• Dental Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.