Individual provider Active NPI

Christopher K Anene, DMD

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1356457428
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7522 Issued in NC
Practice address
3607 Whitehall Park Dr
Suite 1000
Charlotte, NC 28273-3341
Phone
(704) 831-6344
Fax
(704) 831-6368
NPI assigned
Aug 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7522 NC Primary

Addresses

Primary practice location

3607 Whitehall Park Dr
Suite 1000
Charlotte, NC 28273-3341

Mailing address

3607 Whitehall Park Dr
Suite 1000
Charlotte, NC 28273-3341
Phone (704) 831-6344

Other identifiers 1

IdentifierTypeStateIssuer
5900110MedicaidNC

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
I20151217002659 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2163723040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher K. Anene, DMD & Associates, P.a General Practice Past Accepting new patients

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356457428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 WHITEHALL PARK DR",
            "address_2": "SUITE 1000",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733341",
            "telephone_number": "704-831-6344",
            "fax_number": "704-831-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 WHITEHALL PARK DR",
            "address_2": "SUITE 1000",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733341",
            "telephone_number": "704-831-6344",
            "fax_number": "704-831-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANENE",
        "first_name": "CHRISTOPHER",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900110",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.