Organization Active NPI

Kalons and Glidewell DDS PA

  • Dentist
  • Charlotte, NC
National Provider Identifier
1295897692
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7176 Issued in NC
Legal business name
KALONS AND GLIDEWELL DDS PA
Practice address
201 S College St
Suite 1465
Charlotte, NC 28244-0002
Phone
(704) 378-6591
NPI assigned
Dec 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kristi NA GlidewellNPI 1285601625
Title
President
Phone
(704) 378-6591

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7176 NC Primary

Addresses

Primary practice location

201 S College St
Suite 1465
Charlotte, NC 28244-0002

Mailing address

201 S College St
Suite 1465
Charlotte, NC 28244-0002
Phone (704) 378-6591

National Provider Directory

National Provider Directory

Locations

201 S College St
Ste 1465
Charlotte, NC 28244
Phone (704) 378-6591

Practitioners & affiliated clinicians

Practitioners 2

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295897692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S COLLEGE ST",
            "address_2": "SUITE 1465",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282440002",
            "telephone_number": "704-378-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S COLLEGE ST",
            "address_2": "SUITE 1465",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282440002",
            "telephone_number": "704-378-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALONS AND GLIDEWELL DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLIDEWELL",
        "authorized_official_first_name": "KRISTI NA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-378-6591",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "7176",
            "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 Aug 22, 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.