Keyvan Jalali D.D.S., PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9299 Issued in NC

Legal business name

KEYVAN JALALI D.D.S., PLLC

Doing business as

Premier Dentistry

Practice address

16640 Hawfield Way Drive
Suite 101
Charlotte, NC 28277

Phone

(704) 554-8860

NPI assigned

Apr 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Amirkeyvan Jalali, D.D.S.

Title

Dentist

Phone

(704) 906-8769

Specialties & licenses 1

Addresses

Other names 1

• Premier Dentistry Doing business as

Locations

Practitioners 1

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

• Kevin Jalali, D.D.S.

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1922369354
  NPD (past)

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1265876528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16640 HAWFIELD WAY DRIVE",
            "address_2": "SUITE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-554-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16640 HAWFIELD WAY DRIVE",
            "address_2": "SUITE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-554-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYVAN JALALI D.D.S., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "JALALI",
        "authorized_official_first_name": "AMIRKEYVAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "704-906-8769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Key, MS, LMFTA
• Keys to Freedom Caregiver LLC
• Kelli Keys, MSW, LCSW
• Keystone Charlotte LLC
• Keystone Therapy and Consulting PLLC
• KFM Services LLC
• Madhuri Khadka, NP
• Laquinta Khaldun, CCC-SLP
• Yasser Khaled
• Vikrant Singh Khamare, M.D.

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.