Angelica Burgos Saclayan, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

11177 Issued in NC

Practice address

3340 Robinwood Rd # 140
Gastonia, NC 28054-6689

Phone

(704) 755-1900

NPI assigned

Feb 21, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: asaclayan3034707@carolinashealthcaresystem.direct-ci.com

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.

• Cooke and Mvula, PLLC

  • Pediatric Dentistry
  • Charlotte, NC
  • NPI 1760890495
  NPD

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1417655192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 DUNAVANT ST",
            "address_2": "APT 330",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 ROBINWOOD RD # 140",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280546689",
            "telephone_number": "704-755-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACLAYAN",
        "first_name": "ANGELICA",
        "middle_name": "BURGOS",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "11177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mystique Shavonne Rutledge
• Samantha Ann Ryan
• S & C Home Care, LLC
• Heydy Saavedra
• Mauricio Sabogal, D.O.
• Elizabeth H. Saez, PA
• Debra Jackson Safrit, F.N.P.
• Naphtalie Sainvil, PTA
• Nabil Peter Salameh, M.D.
• Katheryn Salazar

• Pediatric Dentistry in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.