Active NPI
Ramon Dennis Peleaux, DDS MD
- Oral and Maxillofacial Surgery (Dentist)
- Charlotte, NC
National Provider Identifier
1629021423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 9300560
- Practice address
- 3541 Randolph Rd
302
Charlotte, NC 28211-1082 - Phone
- (980) 224-7737
- Fax
- (980) 224-7769
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 9300560 | NC | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 6073 | NC |
Addresses
Primary practice location
3541 Randolph Rd
302
Charlotte, NC 28211-1082
Mailing address
3541 Randolph Rd
302
Charlotte, NC 28211-1082
Phone (980) 224-7737
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0607279 | Other | AETNA | |
| 560953592 | Other | TAX ID | |
| 3864523 | Other | CIGNA | |
| 8966771 | Medicaid | NC | |
| 01083 | Other | BCBS | |
| 1399117 | Other | UNITED HEALTHCARE | |
| 19578 | Other | WELLPATH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riddhi J Patel, DMD, PLLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Ramon D. Peleaux, DDS, MD. P.a. | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| DRS Swann & Tallent, PA | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Locations
3541 Randolph Rd
Ste 302
Charlotte, NC 28211
Phone (980) 224-7737
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Charlotte, NC
- NPI 1427325117
-
- Oral and Maxillofacial Surgery (Dentist)
- Charlotte, NC
- NPI 1346116258
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Charlotte, NC
- NPI 1285672717
Oral and Maxillofacial Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336608000000",
"number": "1629021423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3541 RANDOLPH RD",
"address_2": "302",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111082",
"telephone_number": "980-224-7737",
"fax_number": "980-224-7769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3541 RANDOLPH RD",
"address_2": "302",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111082",
"telephone_number": "980-224-7737",
"fax_number": "980-224-7769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELEAUX",
"first_name": "RAMON",
"middle_name": "DENNIS",
"name_prefix": "Dr.",
"credential": "DDS MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2012-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NC",
"license": "9300560",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NC",
"license": "6073",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0607279",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "560953592",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3864523",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8966771",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01083",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1399117",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLPATH",
"identifier": "19578",
"state": null
}
],
"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 May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.