Individual provider Active NPI

Shalini Namathirtham

  • Dentist
  • Monroe, NC
National Provider Identifier
1386324044
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13395 Issued in NC
Practice address
2858 W Highway 74
Monroe, NC 28110-8434
Phone
(704) 220-6054
NPI assigned
Jul 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13395 NC Primary

Addresses

Primary practice location

2858 W Highway 74
Monroe, NC 28110-8434

Mailing address

304 Chestnut Pkwy Apt 8313
Indian Trail, NC 28079-3864
Phone (952) 649-7690

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
13395NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nigatu D.D.S. Monroe P.C. CurrentSince Oct 20, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1386324044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 CHESTNUT PKWY APT 8313",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280793864",
            "telephone_number": "952-649-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2858 W HIGHWAY 74",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108434",
            "telephone_number": "704-220-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMATHIRTHAM",
        "first_name": "SHALINI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "13395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.