NPIMap

Organization Active NPI

Ganglani DMD PLLC

  • General Practice Dentistry
  • Indian Trail, NC
National Provider Identifier
1285262667
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GANGLANI DMD PLLC
Practice address
6611 Old Monroe Rd
Indian Trail, NC 28079-5352
Phone
(704) 218-2132
Fax
(888) 977-1574
NPI assigned
Mar 31, 2020
Last updated
Mar 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Authorized official

Name
Mr. Richard Velazque
Title
Operations Manager
Phone
(704) 516-0275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

6611 Old Monroe Rd
Indian Trail, NC 28079-5352

Mailing address

1110 Churchill Commons Dr
Charlotte, NC 28211-1396
Phone (215) 410-0044

National Provider Directory

National Provider Directory
Tax ID family
Ganglani DMD PLLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

Subparts reporting this organization as parent 8

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1285262667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 CHURCHILL COMMONS DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111396",
            "telephone_number": "215-410-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 OLD MONROE RD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795352",
            "telephone_number": "704-218-2132",
            "fax_number": "888-977-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANGLANI DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "VELAZQUE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "704-516-0275",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.