NPIMap

Organization Active NPI

Rfdest, DDS PLLC

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1386391753
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RFDEST, DDS PLLC
Practice address
8301 University Exec Park Dr Ste 105
Charlotte, NC 28262-3378
Phone
(704) 790-4410
NPI assigned
Mar 7, 2022
Last updated
Mar 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Authorized official

Name
Eileen R Childers
Title
Credentialing MGR
Phone
(704) 790-4410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

8301 University Exec Park Dr Ste 105
Charlotte, NC 28262-3378

Mailing address

8301 University Exec Park Dr Ste 105
Charlotte, NC 28262-3378
Phone (704) 790-4410

National Provider Directory

National Provider Directory
Tax ID family
Rfdest DDS PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

8301 University Exec Park Dr
Ste 105
Charlotte, NC 28262
Phone (704) 441-3464

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1386391753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 UNIVERSITY EXEC PARK DR STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623378",
            "telephone_number": "704-790-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 UNIVERSITY EXEC PARK DR STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623378",
            "telephone_number": "704-790-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RFDEST, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "CHILDERS",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CREDENTIALING MGR",
        "authorized_official_telephone_number": "704-790-4410"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 7, 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.