Organization Active NPI

Nagarani Nagarajan Concord PLLC

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1457130619
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NAGARANI NAGARAJAN CONCORD PLLC
Practice address
2510 Vista Dr Ste 100
Charlotte, NC 28212-6258
Phone
(704) 774-6001
NPI assigned
Sep 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Nagarani NagarajanNPI 1720469125
Title
Dentist
Phone
(704) 774-6001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2510 Vista Dr Ste 100
Charlotte, NC 28212-6258

Mailing address

12024 Willoughby Run Dr
Charlotte, NC 28277-2473
Phone (732) 429-3794

National Provider Directory

National Provider Directory

Locations

2510 Vista Dr
Ste 100
Charlotte, NC 28212
Phone (704) 774-6001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1457130619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12024 WILLOUGHBY RUN DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772473",
            "telephone_number": "732-429-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 VISTA DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282126258",
            "telephone_number": "704-774-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAGARANI NAGARAJAN CONCORD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "NAGARAJAN",
        "authorized_official_first_name": "NAGARANI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "704-774-6001"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "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 Sep 27, 2023; 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.