Ganglani Calabash PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GANGLANI CALABASH PLLC

Practice address

10271 Beach Dr SW
Calabash, NC 28467

Phone

(910) 579-5260

NPI assigned

Jan 10, 2022

Organization subpart

No

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

Authorized official

Name

Chad Hendricks

Title

Credentialing

Phone

(612) 859-0444

Specialties & licenses 1

Addresses

Other names 1

• Deeb & Fanning, DDS, PA Doing business as

Practitioners 2

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

• David Philip Deeb, DDS

  • Dentist
  • Calabash, NC
  • NPI 1164533493
  NPD (past)
• Michael John Fanning, DDS

  • Dentist
  • Calabash, NC
  • NPI 1245341411
  NPD (past)

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1609537877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10271 BEACH DR SW",
            "city": "CALABASH",
            "state": "NC",
            "postal_code": "28467",
            "telephone_number": "910-579-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10271 BEACH DR SW",
            "city": "CALABASH",
            "state": "NC",
            "postal_code": "28467",
            "telephone_number": "910-579-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANGLANI CALABASH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deeb & Fanning, DDS, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janenne E Ellis, PT
• Frederick R Ellwanger III, MD
• Empowher Health Services
• Michael John Fanning, DDS
• Forever Yours, Inc
• Hannah Gaskins, FNP-C
• George L. Saunders, MD, PA
• Felicia Lavern Gore
• Cynthia Hadley, MD
• Alyssa Anne Haley, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.