Individual provider Active NPI

Nancy Acampado, D.D.S.

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1952412462
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7390 Issued in NC
Practice address
2820 Selwyn Ave
Ste. 280
Charlotte, NC 28209-1785
Phone
(704) 916-9086
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7390 NC Primary

Addresses

Primary practice location

2820 Selwyn Ave
Ste. 280
Charlotte, NC 28209-1785

Mailing address

210 N Church St
# 1813
Charlotte, NC 28202-2256
Phone (704) 737-4717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 11, 2021 through Nov 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7390NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquil Family Dentistry General Practice PastSince Oct 8, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1952412462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N CHURCH ST",
            "address_2": "# 1813",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022256",
            "telephone_number": "704-737-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 SELWYN AVE",
            "address_2": "STE. 280",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282091785",
            "telephone_number": "704-916-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACAMPADO",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.