Active NPI
Adriane Kilar Shilmover, DMD
- Dentist
- Charlotte, NC
National Provider Identifier
1619013539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12275
- Practice address
- 3010 Baucom Rd
Charlotte, NC 28269-0983 - Phone
- (704) 697-1223
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22101 | MA | |
| Dentist | 122300000X | 12275 | NC | Primary |
Addresses
Primary practice location
3010 Baucom Rd
Charlotte, NC 28269-0983
Mailing address
20117 Norman Colony Rd
Cornelius, NC 28031-7146
Phone (201) 306-1944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22101 | MA | MD | Physical Therapist |
| 12275 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1619013539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20117 NORMAN COLONY RD",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280317146",
"telephone_number": "201-306-1944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 BAUCOM RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282690983",
"telephone_number": "704-697-1223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHILMOVER",
"first_name": "ADRIANE",
"middle_name": "KILAR",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "22101",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "12275",
"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 Jun 9, 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.