Tadrissi DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

TADRISSI DDS

Practice address

150 Professional Park Dr Ste 100
Mooresville, NC 28117-5604

Phone

(704) 799-6979

Fax

(704) 536-5998

NPI assigned

Jul 25, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Robert Haglund, DMD

Title

Owner

Phone

(704) 799-6979

Specialties & licenses 1

Addresses

Tax ID family

Carolina Mountain Endodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tadrissi DDS, PLLC

  • Endodontics
  • Franklin, NC
  • NPI 1225462716
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Priscilla Lee Carpenter, DDS, MS

  • Endodontics
  • Charlotte, NC
  • NPI 1699355925
  NPD (past)
• Robert Edward Widis, DDS

  • Endodontics
  • Charlotte, NC
  • NPI 1215090998
  NPD (past)

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1255818944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PROFESSIONAL PARK DR STE 100",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175604",
            "telephone_number": "704-799-6979",
            "fax_number": "704-536-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PROFESSIONAL PARK DR STE 100",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175604",
            "telephone_number": "704-799-6979",
            "fax_number": "704-536-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TADRISSI DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "HAGLUND",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-799-6979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lee Coleman Swenson, D.C.
• Jacqueline Swope, FNP
• Jaeda L Sykes
• Malcolm Symes
• Carly Szymanski, PA-C
• Ras-Solomon Tafari, LCSW-A
• Tailored Connections Pediatric Therapy, PLLC
• Tall Oaks Family Practice
• Tall Oaks Pharmacy
• Swathi Talla, MD

• Endodontics in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Endodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.