Active NPI
Robert L Harrell
- Dentist
- Charlotte, NC
National Provider Identifier
1437353711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6675
- Practice address
- 7820 Ballantyne Commons Pkwy Ste 102
Charlotte, NC 28277-2889 - Phone
- (704) 541-9888
- Fax
- (704) 541-7944
- NPI assigned
- Jun 12, 2007
- Last updated
- Sep 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6675 | NC | Primary |
Addresses
Primary practice location
7820 Ballantyne Commons Pkwy Ste 102
Charlotte, NC 28277-2889
Mailing address
7820 Ballantyne Commons Pkwy Ste 102
Charlotte, NC 28277-2889
Phone (704) 541-9888
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6675 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189382400000",
"number": "1437353711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7820 BALLANTYNE COMMONS PKWY STE 102",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282772889",
"telephone_number": "704-541-9888",
"fax_number": "704-541-7944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7820 BALLANTYNE COMMONS PKWY STE 102",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282772889",
"telephone_number": "704-541-9888",
"fax_number": "704-541-7944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRELL",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2007-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "6675",
"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 Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.