NPIMap

Organization Active NPI

Ganglani DMD PLLC

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1346851805
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GANGLANI DMD PLLC
Practice address
8420 Park Rd
Charlotte, NC 28210-5801
Phone
(704) 910-3098
NPI assigned
Aug 10, 2020
Organization subpart
Yes
Parent organization
GANGLANI DMD PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Authorized official

Name
Richard B Velazque
Title
Director of Implementation
Phone
(704) 218-2132

Specialties & licenses 1

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

Addresses

Primary practice location

8420 Park Rd
Charlotte, NC 28210-5801

Mailing address

8420 Park Rd
Charlotte, NC 28210-5801
Phone (704) 910-3098

Other names 1

  • Fresh Dental Park Road Doing business as

National Provider Directory

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

Other organizations with this tax ID 8

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

Locations

8420 Park Rd
Charlotte, NC 28210
Phone (704) 910-3098

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1346851805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282105801",
            "telephone_number": "704-910-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282105801",
            "telephone_number": "704-910-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANGLANI DMD PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GANGLANI DMD PLLC",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "VELAZQUE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR OF IMPLEMENTATION",
        "authorized_official_telephone_number": "704-218-2132"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Dental Park Road",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 10, 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.