NPIMap

Organization Active NPI

Chad J Vanourny DDS, PLLC

  • Dentist
  • Charlotte, NC
National Provider Identifier
1588089650
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9269 Issued in NC
Legal business name
CHAD J VANOURNY DDS, PLLC
Practice address
13557 Steelecroft Pkwy
Ste. 2400
Charlotte, NC 28278-7550
Phone
(704) 594-8496
NPI assigned
Feb 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
Dr. Chad Vanourny, DDSNPI 1003947615
Title
Owner/Dentist
Phone
(319) 331-6088

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9269 NC Primary

Addresses

Primary practice location

13557 Steelecroft Pkwy
Ste. 2400
Charlotte, NC 28278-7550

Mailing address

13557 Steelecroft Pkwy
Ste. 2400
Charlotte, NC 28278-7550
Phone (704) 594-8496

Other names 1

  • Catawba Valley Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

13557 Steelecroft Pkwy
Ste 2400
Charlotte, NC 28278
Phone (704) 594-8496

Practitioners & affiliated clinicians

Practitioners 2

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": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1588089650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13557 STEELECROFT PKWY",
            "address_2": "STE. 2400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787550",
            "telephone_number": "704-594-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13557 STEELECROFT PKWY",
            "address_2": "STE. 2400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787550",
            "telephone_number": "704-594-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD J VANOURNY DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "VANOURNY",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "319-331-6088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "9269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catawba Valley Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 26, 2014; 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.