Pediatric Dentistry of Steele Creek

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PEDIATRIC DENTISTRY OF STEELE CREEK

Practice address

13521 Steelecroft Parkway
Suite 100
Charlotte, NC 28108

Phone

(704) 714-5380

NPI assigned

Jul 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Scott David Goodman, DDS

Title

President/Owner

Phone

(704) 714-5380

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Stephanie Lynn Jackson, DDS, MS

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1992904155
  NPD (past)

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1568624344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13521 STEELECROFT PARKWAY",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28108",
            "telephone_number": "704-714-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13521 STEELECROFT PARKWAY",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28108",
            "telephone_number": "704-714-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF STEELE CREEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "704-714-5380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Murphy Peck, PSY.D.
• Victoria Peck, PA-C
• Aruna Kumari Peddireddy, M.D
• Lee Carl Pederson, M.D.
• Pediatric and Family Behavioral Health Acquisition Group PLLC
• Pediatric Endocrinology & Diabetes Specialists
• Pediatric Foundations, PLLC
• Pediatric Hair Solutions Corporation
• Pediatric Lung Center of Charlotte, PLLC
• Pediatric Promise Therapy Specialists, Inc

• Dentist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.