NPIMap

Organization Active NPI

Luis a. Chamorro, DMD, MPH, PA

  • Endodontics
  • Charlotte, NC
National Provider Identifier
1265605851
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
7743 Issued in NC
Legal business name
LUIS A. CHAMORRO, DMD, MPH, PA
Practice address
11535 Carmel Commons Blvd
Suite 205
Charlotte, NC 28226-5313
Phone
(704) 341-3636
NPI assigned
Apr 4, 2008
Last updated
Apr 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Luis Antonio Chamorro, DMD, MPHNPI 1063414175
Title
President
Phone
(704) 341-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 7743 NC Primary

Addresses

Primary practice location

11535 Carmel Commons Blvd
Suite 205
Charlotte, NC 28226-5313

Mailing address

11535 Carmel Commons Blvd
Suite 205
Charlotte, NC 28226-5313
Phone (704) 341-3636

National Provider Directory

National Provider Directory

Locations

11535 Carmel Commons Blvd
Ste 205
Charlotte, NC 28226
Phone (704) 341-3636

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1265605851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11535 CARMEL COMMONS BLVD",
            "address_2": "SUITE 205",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265313",
            "telephone_number": "704-341-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11535 CARMEL COMMONS BLVD",
            "address_2": "SUITE 205",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265313",
            "telephone_number": "704-341-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS A. CHAMORRO, DMD, MPH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "CHAMORRO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-341-3636",
        "authorized_official_credential": "DMD, MPH"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "7743",
            "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 Apr 4, 2008; 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.