Nigatu D.D.S. Monroe P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NIGATU D.D.S. MONROE P.C.

Practice address

2858 W Highway 74
Monroe, NC 28110-8434

Phone

(704) 220-6054

NPI assigned

Oct 16, 2024

Organization subpart

No

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

Authorized official

Name

Kia Williams

Title

Provider Enrollment Team Lead

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Practitioners 2

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

• Shalini Namathirtham

  • Dentist
  • Monroe, NC
  • NPI 1386324044
  NPD
• Noah Vroman

  • Dentist
  • Monroe, NC
  • NPI 1326890013
  NPD

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1578383121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2858 W HIGHWAY 74",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108434",
            "telephone_number": "704-220-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGATU D.D.S. MONROE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIA",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT TEAM LEAD",
        "authorized_official_telephone_number": "315-454-6000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Lynn New
• Tony Gerald New III
• Maryann Zeidler Newell, FNP
• Newpath Youth Services Inc.
• Cam Tieu Ngo, OD
• Erin Nixon
• Hailey Normandin, OTR/L
• Norris Medical PLLC
• North Carolina Children'S Place, Inc
• North Carolina CVS Pharmacy LLC

• General Practice Dentistry in Monroe, NC
• Providers in Monroe, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.