Organization Active NPI

Balasanyan and Balasanyan PLLC

Doing business as Millbridge dentistry

  • Dental Clinic/Center
  • Waxhaw, NC
National Provider Identifier
1720663487
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BALASANYAN AND BALASANYAN PLLC
Doing business as
Millbridge dentistry
Practice address
3614 Providence Rd S Ste 103
Waxhaw, NC 28173-6310
Phone
(980) 275-0099
NPI assigned
Mar 15, 2021
Last updated
Mar 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Dr. Armen Balasanyan, DDSNPI 1023345097
Title
Partner
Phone
(980) 275-0099

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary
Dentist 122300000X NU

Addresses

Primary practice location

3614 Providence Rd S Ste 103
Waxhaw, NC 28173-6310

Mailing address

8200 Caesars Head Dr
Waxhaw, NC 28173-7048
Phone (980) 275-0099

Other names 1

  • Millbridge dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3614 S Providence Rd
Ste 103
Waxhaw, NC 28173
Phone (980) 275-0099

Practitioners & affiliated clinicians

Practitioners 1

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": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1720663487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 CAESARS HEAD DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737048",
            "telephone_number": "980-275-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 PROVIDENCE RD S STE 103",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736310",
            "telephone_number": "980-275-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALASANYAN AND BALASANYAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "BALASANYAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "980-275-0099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millbridge dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.