Individual provider Active NPI

Anina Cheri Tollett-Parrish, D.D.S

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1669760351
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9279 Issued in NC
Practice address
9304 Northlake West Dr Ste a
Charlotte, NC 28216-9032
Phone
(980) 221-8430
Fax
(980) 221-8435
NPI assigned
Jul 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9279 NC Primary

Addresses

Primary practice location

9304 Northlake West Dr Ste a
Charlotte, NC 28216-9032

Mailing address

9304 Northlake West Dr Ste a
Charlotte, NC 28216-9032
Phone (980) 221-8430

Other practice location 1

1408 Skibo Rd
Fayetteville, NC 28303-3411
Phone (910) 354-2680

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

LicenseStateTypeSpecialty
9279NCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1669760351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9304 NORTHLAKE WEST DR STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282169032",
            "telephone_number": "980-221-8430",
            "fax_number": "980-221-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9304 NORTHLAKE WEST DR STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282169032",
            "telephone_number": "980-221-8430",
            "fax_number": "980-221-8435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1408 Skibo Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283033411",
            "country_code": "US",
            "telephone_number": "910-354-2680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLLETT-PARRISH",
        "first_name": "ANINA",
        "middle_name": "CHERI",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9279",
            "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 Jan 16, 2020; 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.