Organization Active NPI

Simon J Adir DDS, PLLC

  • Dental Clinic/Center
  • Waxhaw, NC
National Provider Identifier
1891154779
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SIMON J ADIR DDS, PLLC
Practice address
2514 Cuthbertson Rd Ste a
Waxhaw, NC 28173-6417
Phone
(704) 243-1122
NPI assigned
Feb 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Authorized official

Name
Dr. Simon J Adir, DDS
Title
Owner/Manager
Phone
(704) 243-1122

Specialties & licenses 1

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

Addresses

Primary practice location

2514 Cuthbertson Rd Ste a
Waxhaw, NC 28173-6417

Mailing address

2514 Cuthbertson Rd Ste a
Waxhaw, NC 28173-6417
Phone (704) 243-1122

Other names 1

  • Waxhaw Dental Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1891154779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 CUTHBERTSON RD STE A",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736417",
            "telephone_number": "704-243-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 CUTHBERTSON RD STE A",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736417",
            "telephone_number": "704-243-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON J ADIR DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "ADIR",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "704-243-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waxhaw Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.