Organization Active NPI

Dr Reimels X PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Charlotte, NC
National Provider Identifier
1780403089
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
DR REIMELS X PLLC
Practice address
8401 University Exec Park Dr Ste 120
Charlotte, NC 28262-1360
Phone
(704) 547-8783
NPI assigned
Oct 4, 2024
Last updated
Oct 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Amanda Noelle Groeschel
Title
VP of RCM
Phone
(704) 978-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

8401 University Exec Park Dr Ste 120
Charlotte, NC 28262-1360

Mailing address

PO Box 2249
Huntersville, NC 28070-2249

National Provider Directory

National Provider Directory

Locations

8401 University Exec Park Dr
Ste 120
Charlotte, NC 28262
Phone (704) 547-8783

NPI Registry JSON

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1780403089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2249",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280702249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 UNIVERSITY EXEC PARK DR STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621360",
            "telephone_number": "704-547-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR REIMELS X PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "GROESCHEL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "NOELLE",
        "authorized_official_title_or_position": "VP OF RCM",
        "authorized_official_telephone_number": "704-978-9800"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 4, 2024; 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.