Individual provider Active NPI

Dianne Patricia Sarles

  • Specialist
  • Charlotte, NC
National Provider Identifier
1871861419
Registry record updated Dec 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A4440 Issued in NC
Practice address
4109 Medoc Mountain Dr
Charlotte, NC 28270-1627
Phone
(704) 321-9791
NPI assigned
Dec 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A4440 NC Primary

Addresses

Primary practice location

4109 Medoc Mountain Dr
Charlotte, NC 28270-1627

Mailing address

4109 Medoc Mountain Dr
Charlotte, NC 28270-1627
Phone (704) 321-9791

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

LicenseStateTypeSpecialty
A4440NCMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1323561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323561600000",
    "number": "1871861419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 MEDOC MOUNTAIN DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701627",
            "telephone_number": "704-321-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 MEDOC MOUNTAIN DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701627",
            "telephone_number": "704-321-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARLES",
        "first_name": "DIANNE",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-11",
        "last_updated": "2011-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "A4440",
            "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 Dec 11, 2011; 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.