Active NPI
Thomas Pinnavaia
- Dentist
- Charlotte, NC
National Provider Identifier
1518176668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8638
- Practice address
- 411 Billingsley Rd
Suite 102
Charlotte, NC 28211-1046 - Phone
- (704) 375-8577
- Fax
- (704) 331-9987
- NPI assigned
- May 22, 2007
- Last updated
- Jul 29, 2014
- 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 | 8638 | NC | Primary |
Addresses
Primary practice location
411 Billingsley Rd
Suite 102
Charlotte, NC 28211-1046
Mailing address
411 Billingsley Rd
Suite 102
Charlotte, NC 28211-1046
Phone (704) 375-8577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141003000669 | NC | Order and Referring Only - Oral Surgery | 6406076942 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8638 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Pinnavaia, PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Charlotte, NC
- NPI 1881992659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406592000000",
"number": "1518176668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 BILLINGSLEY RD",
"address_2": "SUITE 102",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111046",
"telephone_number": "704-375-8577",
"fax_number": "704-331-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 BILLINGSLEY RD",
"address_2": "SUITE 102",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111046",
"telephone_number": "704-375-8577",
"fax_number": "704-331-9987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINNAVAIA",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "8638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
- Pinnacle Place LLC
- Pinnacle Point Supportive Services, LLC
- Pinnacle Telecounseling PLLC
- Pinnacle Therapeutic Services
- Pinnacle Therapeutic Services
- Sophie Pinneke
- Pinnix and Betancourt PLLC (Advanced Dentistry of Blakeney)
- John Pinnix IV, DMD
- Jessica Christina Pinti, MA, NCC,LCAS-A,LPCA
- Luis Napoleon Pinzon, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.