Organization Active NPI

Raghav Sundaresh, DDS, PLLC

  • Dental Clinic/Center
  • Charlotte, NC
National Provider Identifier
1578021952
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RAGHAV SUNDARESH, DDS, PLLC
Practice address
620 N Church St Ste 113
Charlotte, NC 28202-3277
Phone
(704) 773-3771
NPI assigned
Mar 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
Dr. Raghavanand Sundaresh, DDSNPI 1003359886
Title
Owner
Phone
(704) 773-3771

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

620 N Church St Ste 113
Charlotte, NC 28202-3277

Mailing address

620 N Church St Ste 113
Charlotte, NC 28202-3277
Phone (704) 773-3771

National Provider Directory

National Provider Directory

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": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1578021952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N CHURCH ST STE 113",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023277",
            "telephone_number": "704-773-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N CHURCH ST STE 113",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023277",
            "telephone_number": "704-773-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAGHAV SUNDARESH, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "SUNDARESH",
        "authorized_official_first_name": "RAGHAVANAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-773-3771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "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 Mar 5, 2019; 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.