Active NPI
Nuance Facial Plastics PLLC
- Medical Specialty Clinic/Center
- Charlotte, NC
National Provider Identifier
1871035188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 2016-01378
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Summit Bhanji Kundaria, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Otolaryngology Physician
- Charlotte, NC
- NPI 1588896401
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.