Myps LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MYPS LLC

Doing business as

MY Dentists Latrobe

Practice address

3749 Latrobe Dr
Charlotte, NC 28211-1164

Phone

(704) 365-0006

Fax

(704) 365-0007

NPI assigned

Nov 28, 2011

Last updated

Nov 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Elizabeth Middleton

Title

Office Manager

Phone

(704) 365-0006

Specialties & licenses 1

Addresses

Other names 1

• MY Dentists Latrobe Doing business as

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1932476561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3749 LATROBE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111164",
            "telephone_number": "704-365-0006",
            "fax_number": "704-365-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3749 LATROBE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111164",
            "telephone_number": "704-365-0006",
            "fax_number": "704-365-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-365-0006"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MY Dentists Latrobe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.