Individual provider Active NPI

Karthik Kanakasundaram Naidu, D.M.D., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Charlotte, NC
National Provider Identifier
1407011927
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
9910 Issued in NC
Practice address
5700 University Pointe Blvd
Suite 104
Charlotte, NC 28262-5026
Phone
(704) 549-8020
NPI assigned
Jul 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 9910 NC Primary

Addresses

Primary practice location

5700 University Pointe Blvd
Suite 104
Charlotte, NC 28262-5026

Mailing address

5700 University Pointe Blvd
Suite 104
Charlotte, NC 28262-5026
Phone (704) 549-8020

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26465TXMDLicensed Practical Nurse
9910NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1407011927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 UNIVERSITY POINTE BLVD",
            "address_2": "SUITE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282625026",
            "telephone_number": "704-549-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 UNIVERSITY POINTE BLVD",
            "address_2": "SUITE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282625026",
            "telephone_number": "704-549-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIDU",
        "first_name": "KARTHIK",
        "middle_name": "KANAKASUNDARAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "9910",
            "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 Nov 20, 2014; 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.