Organization Active NPI

Michael O. Givens, DDS, PLLC

  • Dental Clinic/Center
  • Charlotte, NC
National Provider Identifier
1750568416
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5082 Issued in NC
Legal business name
MICHAEL O. GIVENS, DDS, PLLC
Practice address
6608 E Harris Blvd
Suite G
Charlotte, NC 28215-5127
Phone
(704) 536-2299
Fax
(704) 537-3562
NPI assigned
Jan 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Dr. Michael Odell Givens, D.D.S.NPI 1235167651
Title
President
Phone
(704) 536-2299

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5082 NC Primary

Addresses

Primary practice location

6608 E Harris Blvd
Suite G
Charlotte, NC 28215-5127

Mailing address

6608 E Harris Blvd
Suite G
Charlotte, NC 28215-5127
Phone (704) 536-2299

Other identifiers 1

IdentifierTypeStateIssuer
8993226MedicaidNC

National Provider Directory

National Provider Directory

Locations

6608 E Wt Harris Blvd
Ste G
Charlotte, NC 28215
Phone (704) 536-2299

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1750568416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6608 E HARRIS BLVD",
            "address_2": "SUITE G",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282155127",
            "telephone_number": "704-536-2299",
            "fax_number": "704-537-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6608 E HARRIS BLVD",
            "address_2": "SUITE G",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282155127",
            "telephone_number": "704-536-2299",
            "fax_number": "704-537-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL O. GIVENS, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "GIVENS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ODELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-536-2299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "5082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8993226",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 24, 2008; 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.