Organization Active NPI

Sergei Shirman DMD PLLC

Doing business as Dental Wellness of Charlotte

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1912770843
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SERGEI SHIRMAN DMD PLLC
Doing business as
Dental Wellness of Charlotte
Practice address
9915 Sandy Rock PL
Ste 200
Charlotte, NC 28277
Phone
(704) 317-7337
Fax
(704) 909-2373
NPI assigned
Nov 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Oksana Shirman
Title
Cfo
Phone
(704) 317-7337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9915 Sandy Rock PL
Ste 200
Charlotte, NC 28277

Mailing address

9915 Sandy Rock PL
Ste 200
Charlotte, NC 28277
Phone (704) 317-7337

Other names 1

  • Dental Wellness of Charlotte Doing business as

National Provider Directory

National Provider Directory

Locations

9915 Sandy Rock Pl
Ste 200
Charlotte, NC 28277
Phone (704) 317-7337

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": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1912770843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9915 SANDY ROCK PL",
            "address_2": "STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-317-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9915 SANDY ROCK PL",
            "address_2": "STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-317-7337",
            "fax_number": "704-909-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGEI SHIRMAN DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "SHIRMAN",
        "authorized_official_first_name": "OKSANA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "704-317-7337"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Wellness of Charlotte",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 2, 2023; 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.