NPIMap

Organization Active NPI

Betancourt,Pinnix, Phelps, &Grimes, DMD PLLC

Doing business as Dental Advantage

  • Dentist
  • Charlotte, NC
National Provider Identifier
1679719843
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7648 Issued in NC
Legal business name
BETANCOURT,PINNIX, PHELPS, &GRIMES, DMD PLLC
Doing business as
Dental Advantage
Practice address
3025 Springbank LN
Suite 250
Charlotte, NC 28226-3362
Phone
(704) 540-7600
NPI assigned
Dec 18, 2008
Last updated
Dec 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Authorized official

Name
Dr. Christopher L Phelps, DMD
Title
Co-President
Phone
(704) 543-1102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7648 NC Primary

Addresses

Primary practice location

3025 Springbank LN
Suite 250
Charlotte, NC 28226-3362

Mailing address

3025 Springbank LN
Suite 250
Charlotte, NC 28226-3362
Phone (704) 540-7600

Other names 1

  • Dental Advantage Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Betancourt Pinnix Phelps Grimes DMD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3025 Springbank Ln
Ste 250
Charlotte, NC 28226
Phone (704) 540-7600

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1679719843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 SPRINGBANK LN",
            "address_2": "SUITE 250",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263362",
            "telephone_number": "704-540-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SPRINGBANK LN",
            "address_2": "SUITE 250",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263362",
            "telephone_number": "704-540-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETANCOURT,PINNIX, PHELPS, &GRIMES, DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "704-543-1102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "7648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Advantage",
            "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 Dec 18, 2008; 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.