Active NPI
Seyed Ehsan Ghorshi, DDS
- General Practice Dentistry
- Charlotte, NC
National Provider Identifier
1942335559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7607
- Practice address
- 11301 Golf Links Dr N
#201
Charlotte, NC 28277-8013 - Phone
- (704) 321-3244
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7607 | NC | Primary |
Addresses
Primary practice location
11301 Golf Links Dr N
#201
Charlotte, NC 28277-8013
Mailing address
11301 Golf Links Dr N
#201
Charlotte, NC 28277-8013
Phone (704) 321-3244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89902NT | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7607 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modlin& Londry IV DDS PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Charlotte, NC
- NPI 1821569732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1942335559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11301 GOLF LINKS DR N",
"address_2": "#201",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282778013",
"telephone_number": "704-321-3244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11301 GOLF LINKS DR N",
"address_2": "#201",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282778013",
"telephone_number": "704-321-3244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHORSHI",
"first_name": "SEYED",
"middle_name": "EHSAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "7607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89902NT",
"state": "NC"
}
],
"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 May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.