Individual provider Active NPI

Nasser Goltrand Hepi Ndasi

  • General Practice Dentistry
  • Rockingham, NC
National Provider Identifier
1508656570
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14454 Issued in NC
Practice address
1355 E Broad Ave Ste C
Rockingham, NC 28379-4926
Phone
(910) 817-0111
NPI assigned
May 12, 2025
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14454 NC Primary

Addresses

Primary practice location

1355 E Broad Ave Ste C
Rockingham, NC 28379-4926

Mailing address

8015 Legends Dr
Southern Pines, NC 28387-3464
Phone (770) 873-0011

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

LicenseStateTypeSpecialty
14454NCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1508656570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8015 LEGENDS DR",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283873464",
            "telephone_number": "770-873-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 E BROAD AVE STE C",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794926",
            "telephone_number": "910-817-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPI NDASI",
        "first_name": "NASSER",
        "middle_name": "GOLTRAND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "14454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.