Individual provider Active NPI

Celina Valletti, D.M.D.

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1245766047
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10631 Issued in NC
Practice address
8105 Fayetteville Rd Ste 101
Raleigh, NC 27603
Phone
(919) 771-2760
NPI assigned
May 11, 2017
Last updated
Jan 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10631 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

8105 Fayetteville Rd Ste 101
Raleigh, NC 27603

Mailing address

8105 Fayetteville Rd Ste 101
Raleigh, NC 27603-5668
Phone (919) 771-2760

Other practice location 1

Unc School Of Dentistry Aegd Program
Campus Box 7450
Chapel Hill, NC 27599-7450
Phone (919) 537-3230

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

LicenseStateTypeSpecialty
10631NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
K. Jasinski, D.M.D., P.C. General Practice PastSince Aug 16, 2020 Accepting new patients
Steven Dewayne Taylor, DDS, PA General Practice Past Accepting new patients

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1245766047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 FAYETTEVILLE RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276035668",
            "telephone_number": "919-771-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 FAYETTEVILLE RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27603",
            "telephone_number": "919-771-2760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Unc School Of Dentistry Aegd Program",
            "address_2": "Campus Box 7450",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275997450",
            "country_code": "US",
            "telephone_number": "919-537-3230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLETTI",
        "first_name": "CELINA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10631",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.