Active NPI
Armentha Prosper-Chicas, DDS
- General Practice Dentistry
- Waxhaw, NC
National Provider Identifier
1740758044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11219
- Practice address
- 9925 Rea Rd Ste 104
Waxhaw, NC 28173-6441 - Phone
- (980) 500-3999
- NPI assigned
- Nov 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11219 | NC | Primary |
Addresses
Primary practice location
9925 Rea Rd Ste 104
Waxhaw, NC 28173-6441
Mailing address
11638 Kempsford Dr
Charlotte, NC 28262-2512
Other names 1
- Armentha Prosper
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11219 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ganglani Reafield PLLC | General Practice | Current | Accepting new patients |
| Armentha D Prosper-Chicas, DDS, PLLC | General Practice | Current | Accepting new patients |
Locations
9925 Rea Rd
Ste 104
Waxhaw, NC 28173
Phone (704) 654-6976
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Cornelius, NC
- NPI 1851170500
General Practice
-
- General Practice Dentistry
- Waxhaw, NC
- NPI 1124720982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1740758044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11638 KEMPSFORD DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282622512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9925 REA RD STE 104",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281736441",
"telephone_number": "980-500-3999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROSPER-CHICAS",
"first_name": "ARMENTHA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-05",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "11219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ARMENTHA",
"last_name": "PROSPER",
"code": "5",
"type": "Other Name"
}
]
}
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 Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.