NPIMap

Organization Active NPI

Suren Paravyan, DMD, MD, MSD, PA

Doing business as Sandhills Endodontics

  • Endodontics
  • Fayetteville, NC
National Provider Identifier
1679961148
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
SUREN PARAVYAN, DMD, MD, MSD, PA
Doing business as
Sandhills Endodontics
Practice address
572 Sandhurst Dr
Fayetteville, NC 28304-4426
Phone
(910) 485-3636
Fax
(910) 222-9401
NPI assigned
Jan 6, 2015
Last updated
Mar 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Authorized official

Name
Suren Paravyan, DMD, MD, MSD,NPI 1154554178
Title
President
Phone
(910) 485-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 6544 NC
Endodontics 1223E0200X 9131 NC
Endodontics 1223E0200X 8987 NC
Endodontics 1223E0200X 6772 NC
Endodontics 1223E0200X NU Primary

Addresses

Primary practice location

572 Sandhurst Dr
Fayetteville, NC 28304-4426

Mailing address

572 Sandhurst Dr
Fayetteville, NC 28304-4426
Phone (910) 485-3636

Other names 1

  • Sandhills Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

201 S McPherson Church Rd
Ste 102
Fayetteville, NC 28303
Phone (910) 438-9400

201 S McPherson Church Rd
Ste 201
Fayetteville, NC 28303

572 Sandhurst Dr
Fayetteville, NC 28304
Phone (910) 485-3636

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": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1679961148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 SANDHURST DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044426",
            "telephone_number": "910-485-3636",
            "fax_number": "910-222-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 SANDHURST DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044426",
            "telephone_number": "910-485-3636",
            "fax_number": "910-222-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUREN PARAVYAN, DMD, MD, MSD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "PARAVYAN",
        "authorized_official_first_name": "SUREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-485-3636",
        "authorized_official_credential": "DMD, MD, MSD,"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "6544",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "9131",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "8987",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "6772",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandhills Endodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sandhills Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.