Organization Active NPI

Michael O. Reimels D.D.S. & Todd M. Hendrickson D.M.D

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1467686733
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7919 Issued in NC
Legal business name
MICHAEL O. REIMELS D.D.S. & TODD M. HENDRICKSON D.M.D
Practice address
10700 Kettering Dr Ste a
Charlotte, NC 28226-3771
Phone
(704) 540-5440
Fax
(704) 540-5441
NPI assigned
May 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Authorized official

Name
Miss Amanda Krimminger
Title
Office Manager
Phone
(704) 987-7996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7919 NC Primary

Addresses

Primary practice location

10700 Kettering Dr Ste a
Charlotte, NC 28226-3771

Mailing address

10700 Kettering Dr Ste a
Charlotte, NC 28226-3771
Phone (704) 540-5440

Other identifiers 1

IdentifierTypeStateIssuer
5910013MedicaidNC

Other names 1

  • First Dental of Pineville Doing business as

National Provider Directory

National Provider Directory

Locations

10700 Kettering Dr
Ste A
Charlotte, NC 28226
Phone (704) 363-7419

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1467686733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 KETTERING DR STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263771",
            "telephone_number": "704-540-5440",
            "fax_number": "704-540-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 KETTERING DR STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263771",
            "telephone_number": "704-540-5440",
            "fax_number": "704-540-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL O. REIMELS D.D.S. & TODD M. HENDRICKSON D.M.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "KRIMMINGER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-987-7996",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910013",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Dental of Pineville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 14, 2009; 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.