Organization Active NPI

Ballantyne Center for Dentistry

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1669807152
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BALLANTYNE CENTER FOR DENTISTRY
Practice address
15105 John J Delaney Dr
Suite K
Charlotte, NC 28277-2847
Phone
(704) 540-2255
NPI assigned
Sep 4, 2013
Last updated
Sep 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
Dr. Joseph Hufanda, DDS
Title
Ownwer
Phone
(704) 540-2255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

15105 John J Delaney Dr
Suite K
Charlotte, NC 28277-2847

Mailing address

15105 John J Delaney Dr
Suite K
Charlotte, NC 28277-2847
Phone (704) 540-2255

National Provider Directory

National Provider Directory

Locations

15105 John J Delaney Dr
Ste K
Charlotte, NC 28277
Phone (704) 540-2255

Practitioners & affiliated clinicians

Practitioners 3

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": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1669807152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15105 JOHN J DELANEY DR",
            "address_2": "SUITE K",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772847",
            "telephone_number": "704-540-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15105 JOHN J DELANEY DR",
            "address_2": "SUITE K",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772847",
            "telephone_number": "704-540-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLANTYNE CENTER FOR DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "HUFANDA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNWER",
        "authorized_official_telephone_number": "704-540-2255",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

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 Sep 4, 2013; 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.