Organization Active NPI

Stellar Dental

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1659131258
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STELLAR DENTAL
Doing business as
Stellar Dental
Practice address
2100 N Davidson St Unit B
Charlotte, NC 28205-1828
Phone
(704) 688-7120
Fax
(704) 405-8815
NPI assigned
Mar 20, 2024
Last updated
Mar 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Herbert Hung Vu, DDSNPI 1730477977
Title
Owner/Provider
Phone
(225) 266-0447

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2100 N Davidson St Unit B
Charlotte, NC 28205-1828

Mailing address

2100 N Davidson St Unit B
Charlotte, NC 28205-1828
Phone (704) 688-7120

Other names 1

  • Stellar Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2100 N Davidson St
Unit B
Charlotte, NC 28205
Phone (704) 688-7120

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1659131258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N DAVIDSON ST UNIT B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051828",
            "telephone_number": "704-688-7120",
            "fax_number": "704-405-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N DAVIDSON ST UNIT B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051828",
            "telephone_number": "704-688-7120",
            "fax_number": "704-405-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "HUNG",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "225-266-0447",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stellar Dental",
            "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 Mar 20, 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.