Active NPI
Colleen Peleaux, DDS
- General Practice Dentistry
- Charlotte, NC
National Provider Identifier
1255452561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6251
- Practice address
- 135 S Sharon Amity Rd
Suite 204
Charlotte, NC 28211-2842 - Phone
- (704) 365-2765
- Fax
- (704) 365-2767
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6251 | NC | Primary |
Addresses
Primary practice location
135 S Sharon Amity Rd
Suite 204
Charlotte, NC 28211-2842
Mailing address
135 S Sharon Amity Rd
Suite 204
Charlotte, NC 28211-2842
Phone (704) 365-2765
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 |
|---|---|---|---|
| 6251 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Cameron & Associates of Cotswold, PLLC | Past | Accepting new patients | |
| Cotswold Family Dentistry | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Charlotte, NC
- NPI 1215017454
-
- Dentist
- Charlotte, NC
- NPI 1003654914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255452561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 S SHARON AMITY RD",
"address_2": "SUITE 204",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112842",
"telephone_number": "704-365-2765",
"fax_number": "704-365-2767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 S SHARON AMITY RD",
"address_2": "SUITE 204",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112842",
"telephone_number": "704-365-2765",
"fax_number": "704-365-2767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELEAUX",
"first_name": "COLLEEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "6251",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.