Organization Active NPI

Nuance Facial Plastics PLLC

  • Medical Specialty Clinic/Center
  • Charlotte, NC
National Provider Identifier
1871035188
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
2016-01378 Issued in NC
Legal business name
NUANCE FACIAL PLASTICS PLLC
Practice address
309 S Sharon Amity Rd
Ste 202
Charlotte, NC 28211-2978
Phone
(704) 593-6802
Fax
(980) 859-2784
NPI assigned
Nov 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Authorized official

Name
Dr. Summit Bhanji Kundaria, MDNPI 1588896401
Title
Owner
Phone
(704) 593-6802

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
Medical Specialty Clinic/Center 261QM2500X 2016-01378 NC Primary

Addresses

Primary practice location

309 S Sharon Amity Rd
Ste 202
Charlotte, NC 28211-2978

Mailing address

309 S Sharon Amity Rd
Ste 202
Charlotte, NC 28211-2978
Phone (704) 593-6802

National Provider Directory

National Provider Directory

Locations

309 S Sharon Amity Rd
Ste 202
Charlotte, NC 28211
Phone (704) 593-6802

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": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1871035188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S SHARON AMITY RD",
            "address_2": "STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112978",
            "telephone_number": "704-593-6802",
            "fax_number": "980-859-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S SHARON AMITY RD",
            "address_2": "STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112978",
            "telephone_number": "704-593-6802",
            "fax_number": "980-859-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUANCE FACIAL PLASTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "KUNDARIA",
        "authorized_official_first_name": "SUMMIT",
        "authorized_official_middle_name": "BHANJI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-593-6802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "2016-01378",
            "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 Nov 17, 2016; 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.