Tala Seri Dajani, M.D., M.P.H

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

2021-03357 Issued in NC

Practice address

100 Medical Park Dr Ste 310E
Concord, NC 28025-2966

Phone

(704) 403-2660

Fax

(704) 782-6032

NPI assigned

Apr 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tdajani2934978@carolinashealthcaresystem.direct-ci.com

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.

• The Charlotte-Mecklenburg Hospital Authority

  • Hematology & Oncology Physician
  • Charlotte, NC
  • NPI 1033489687
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1679535405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 SUNWEST DR",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287048550",
            "telephone_number": "704-403-2660",
            "fax_number": "704-782-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL PARK DR STE 310E",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252966",
            "telephone_number": "704-403-2660",
            "fax_number": "704-782-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAJANI",
        "first_name": "TALA",
        "middle_name": "SERI",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "AZ",
            "license": "28837",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NC",
            "license": "2021-03357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "107635",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "882284",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brennan Lynn Dagenhart, CADC-R
• David Dagostino, FNP-C
• Ronin Dahal, MD
• Luke Carroll Daigle
• Meghan Daigle
• Erin Dalton, PHARMD
• Thomas A Dalton, M.D.
• Alison Dancy, PT
• Dandelion Counseling Services, PLLC
• Daniel Max & Marc Andrea LLC

• Pediatric Endocrinology Physician in Concord, NC
• Providers in Concord, NC by specialty
• Pediatric Endocrinology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.