Organization Active NPI

Sladjana Bjelac DDS PLLC

  • Dentist
  • Charlotte, NC
National Provider Identifier
1326770462
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SLADJANA BJELAC DDS PLLC
Practice address
2701 Coltsgoute Road
Suite 104
Charlotte, NC 28211
Phone
(980) 224-2336
Fax
(980) 224-2336
NPI assigned
Jun 28, 2022
Organization subpart
Yes
Parent organization
SLADJANA BJELAC DDS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Authorized official

Name
Sladjana Bjelac, DDSNPI 1003433814
Title
Owner/Dentist
Phone
(704) 701-7104

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X

Addresses

Primary practice location

2701 Coltsgoute Road
Suite 104
Charlotte, NC 28211

Mailing address

2701 Coltsgoute Road
Suite 104
Charlotte, NC 28211

National Provider Directory

National Provider Directory
Tax ID family
Aspire Dental Wellness2 organizations share this tax ID, including this one
Part of
Aspire Dental Wellness

Other organizations with this tax ID 1

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

Locations

2701 Coltsgate Rd
Ste 104
Charlotte, NC 28211
Phone (704) 366-8707

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1326770462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 COLTSGOUTE ROAD",
            "address_2": "SUITE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 COLTSGOUTE ROAD",
            "address_2": "SUITE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28211",
            "telephone_number": "980-224-2336",
            "fax_number": "980-224-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLADJANA BJELAC DDS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SLADJANA BJELAC DDS PLLC",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "BJELAC",
        "authorized_official_first_name": "SLADJANA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "704-701-7104",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 28, 2022; 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.