North Hills Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NORTH HILLS DENTAL LLC

Doing business as

Southern Charm Dentistry LLC

Practice address

2700 N Hills St
Meridian, MS 39305-2641

Phone

(601) 485-4851

Fax

(601) 693-5936

NPI assigned

Aug 28, 2020

Last updated

Aug 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stafani Sandoval

Title

Insurance Specialist

Phone

(440) 356-2089

Specialties & licenses 1

Addresses

Other names 1

• Southern Charm Dentistry LLC Doing business as

Locations

Practitioners 2

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.

• Mayank Shrivastava, BDS, MDS

  • Orofacial Pain Dentistry
  • Chapel Hill, NC
  • NPI 1871010165
  NPD
• Anastasia Theodorou, D.M.D

  • General Practice Dentistry
  • Rocky River, OH
  • NPI 1407958960
  NPD

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1720691892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19111 DETROIT RD STE 206",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441161740",
            "telephone_number": "440-356-2089",
            "fax_number": "440-356-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N HILLS ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393052641",
            "telephone_number": "601-485-4851",
            "fax_number": "601-693-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH HILLS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "STAFANI",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "440-356-2089"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Charm Dentistry LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy N Nicholas, LPN/BHT
• Regina Shanelle Nickelson, FNP-BC
• Lesley Smith Norris, SLP
• North Hills Dental
• North Hills Dental Associates
• North Hills Physical Therapy, LLC
• Kyle Dennis Null, PHARMD, PHD
• Rosanne Nunnery, LPC
• Nurse Anesthesia Services of Meridian LLC
• Nurse Practitioner Associates of Meridian

• General Practice Dentistry in Meridian, MS
• Providers in Meridian, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.