Vinita Patel, DMD, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

09842 Issued in NC

Legal business name

VINITA PATEL, DMD, P.A.

Doing business as

Ballantyne Family Dental

Practice address

12312 Copper Way Ste 202
Charlotte, NC 28277-4855

Phone

(980) 215-9200

NPI assigned

Dec 5, 2017

Organization subpart

No

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

Authorized official

Name

Vinita Patel, DMD

Title

Owner/Dentist

Phone

(980) 215-9200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ballantyne Family Dental Doing business as

Locations

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1396250973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6827 BRADDOCK LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12312 COPPER WAY STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774855",
            "telephone_number": "980-215-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINITA PATEL, DMD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VINITA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "980-215-9200",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "09842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1881002871",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ballantyne Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.