Individual provider Active NPI

Salvatore Carmen Zammitti, DMD, MMSC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Concord, NC
National Provider Identifier
1336285220
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8732 Issued in NC
Practice address
10040 Edison Square Drive NW
Concord, NC 28027
Phone
(508) 308-5555
Fax
(707) 947-9992
NPI assigned
Jan 29, 2007
Last updated
Oct 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 18750 MA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 8732 NC Primary

Addresses

Primary practice location

10040 Edison Square Drive NW
Concord, NC 28027

Mailing address

10040 Edison Square Dr NW Ste 104
Concord, NC 28027-8254
Phone (704) 657-9175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8732NCMDOrthodontics and Dentofacial Orthopedic Dentist
18750MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sal C Zammitti DMD MMSC PLLC and Matthew P Gidaly DDS PLLC I Orthodontics and Dentofacial Orthopedics CurrentSince Sep 28, 2025 Accepting new patients
Sal C Zammitti DMD MMSC PLLC and Matthew P Gidaly DDS PLLC IV Orthodontics and Dentofacial Orthopedics PastSince Aug 14, 2022 Accepting new patients
Sal C Zammitti DMD MMSC PLLC and Matthew P Gidaly DDS PLLC III Orthodontics and Dentofacial Orthopedics PastSince Oct 2, 2022 Accepting new patients

Locations

10040 Edison Square Dr NW
Ste 104
Concord, NC 28027
Phone (704) 947-9991

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1336285220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10040 EDISON SQUARE DR NW STE 104",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278254",
            "telephone_number": "704-657-9175",
            "fax_number": "704-947-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10040 EDISON SQUARE DRIVE NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "28027",
            "telephone_number": "508-308-5555",
            "fax_number": "707-947-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMMITTI",
        "first_name": "SALVATORE",
        "middle_name": "CARMEN",
        "name_prefix": "Dr.",
        "credential": "DMD, MMSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "18750",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "8732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.