Mint Hill Dentistry, LLP

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MINT HILL DENTISTRY, LLP

Practice address

5833 Phyliss Lane
Mint Hill, NC 28227-9031

Phone

(704) 568-8010

Fax

(704) 563-0496

NPI assigned

Aug 16, 2005

Last updated

Apr 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anastasi J Roupas, DMDNPI 1386636462

Title

Owner/Partner

Phone

(704) 568-8010

Specialties & licenses 1

Addresses

Other names 1

• Sullivan Hutchinson Burd & Roupas DDS Partnership Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anastasi John Roupas, DMD

  • Dentist
  • Charlotte, NC
  • NPI 1386636462
  Authorized official Same address or phone

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1265424345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 PHYLISS LANE",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279031",
            "telephone_number": "704-568-8010",
            "fax_number": "704-563-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5833 PHYLISS LANE",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279031",
            "telephone_number": "704-568-8010",
            "fax_number": "704-563-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT HILL DENTISTRY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "ROUPAS",
        "authorized_official_first_name": "ANASTASI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "704-568-8010",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sullivan Hutchinson Burd & Roupas DDS Partnership",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Gary Michael Medlin, RPH
• Marie G Mercier, CNS
• Georgia Miles, PHARMACIST
• Abby Miller, LCMHCA
• Joseph Minaya
• Mint Hill Health Holdings, LLC (Mint Hill Senior Living)
• Mint Hill Pediatric Therapy
• Mint Hill Pharmacy LLC (Mint Hill Pharmacy)
• Mint Hill Pharmacy LLC
• Mint Hill Primary Care PLLC

• Dentist in Mint Hill, NC
• Providers in Mint Hill, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.