Organization Active NPI

Robert R Haglund Jr DMD, MDS,II,PA

  • Endodontics
  • Charlotte, NC
National Provider Identifier
1669907317
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
7727 Issued in NC
Legal business name
ROBERT R HAGLUND JR DMD, MDS,II,PA
Practice address
8912 Blakeney Professional Dr
Suite 300
Charlotte, NC 28277-6734
Phone
(980) 833-1214
Fax
(980) 833-1637
NPI assigned
May 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Authorized official

Name
Robert R Haglund, DMD,MDS,II,PA
Title
Owner
Phone
(980) 833-1214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 7727 NC Primary

Addresses

Primary practice location

8912 Blakeney Professional Dr
Suite 300
Charlotte, NC 28277-6734

Mailing address

8912 Blakeney Professional Drive
Suite 300
Charlotte, NC 28277-6734
Phone (980) 833-1214

Other names 1

  • South Charlotte Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

8912 Blakeney Professional Dr
Ste 300
Charlotte, NC 28277
Phone (980) 833-1214

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1669907317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8912 BLAKENEY PROFESSIONAL DRIVE",
            "address_2": "SUITE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776734",
            "telephone_number": "980-833-1214",
            "fax_number": "980-833-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8912 BLAKENEY PROFESSIONAL DR",
            "address_2": "SUITE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776734",
            "telephone_number": "980-833-1214",
            "fax_number": "980-833-1637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT R HAGLUND JR DMD, MDS,II,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "HAGLUND",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-833-1214",
        "authorized_official_credential": "DMD,MDS,II,PA"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "7727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Charlotte Endodontics",
            "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 May 1, 2017; 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.