Individual provider Active NPI

James Parelli, DMD, MD, MS.ED

  • Oral and Maxillofacial Surgery (Dentist)
  • Waxhaw, NC
National Provider Identifier
1346566759
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
201600146 Issued in NC
Practice address
102 Waxhaw Professional Park Dr Ste G
Waxhaw, NC 28173-5025
Phone
(704) 289-8819
NPI assigned
Apr 9, 2010
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 201600146 NC Primary

Addresses

Primary practice location

102 Waxhaw Professional Park Dr Ste G
Waxhaw, NC 28173-5025

Mailing address

102 Waxhaw Professional Park Dr Ste G
Waxhaw, NC 28173-5025
Phone (704) 289-8819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170105000737 NC Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 9234410283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
201600146NCMDOral and Maxillofacial Surgery (Dentist)
10516NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Oral Surgery and Dental Implant Center Oral and Maxillofacial Surgery CurrentSince Oct 31, 2021 Accepting new patients

Locations

102 Waxhaw Professional Park Dr
Ste G
Waxhaw, NC 28173
Phone (704) 289-8819

Organizations & group practices 1

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": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1346566759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WAXHAW PROFESSIONAL PARK DR STE G",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281735025",
            "telephone_number": "704-289-8819",
            "fax_number": "704-289-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WAXHAW PROFESSIONAL PARK DR STE G",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281735025",
            "telephone_number": "704-289-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARELLI",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD, MD, MS.ED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-09",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "201600146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

Verify at the official NPI Registry.