Organization Active NPI

Agunwah, S. DDS PLLC

Doing business as Bubbles Pediatric Dentistry

  • Pediatric Dentistry
  • Charlotte, NC
National Provider Identifier
1730994146
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
AGUNWAH, S. DDS PLLC
Doing business as
Bubbles Pediatric Dentistry
Practice address
2012 Beatties Ford Rd
Charlotte, NC 28216-4514
Phone
(704) 412-2444
Fax
(704) 412-2442
NPI assigned
Feb 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Dr. Somtochukwu Agunwah, DDS
Title
Ceo
Phone
(704) 412-2444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2012 Beatties Ford Rd
Charlotte, NC 28216-4514

Mailing address

2012 Beatties Ford Rd
Charlotte, NC 28216-4514
Phone (704) 649-3188

Other names 1

  • Bubbles Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2012 Beatties Ford Rd
Charlotte, NC 28216
Phone (704) 412-2444

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1730994146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 BEATTIES FORD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282164514",
            "telephone_number": "704-649-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 BEATTIES FORD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282164514",
            "telephone_number": "704-412-2444",
            "fax_number": "704-412-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGUNWAH, S. DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "AGUNWAH",
        "authorized_official_first_name": "SOMTOCHUKWU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-412-2444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bubbles Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bubbles Pediatric Dentistry",
            "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 Aug 14, 2025; 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.