Active NPI
Roberto Palmieri, DMD
- Dentist
- Mooresville, NC
National Provider Identifier
1962585547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6946
- Practice address
- 311 Williamson Rd
Suite 203
Mooresville, NC 28117-5966 - Phone
- (704) 662-6020
- Fax
- (704) 662-6880
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6946 | NC | Primary |
Addresses
Primary practice location
311 Williamson Rd
Suite 203
Mooresville, NC 28117-5966
Mailing address
4485 Marion Dr
Terrell, NC 28682-9782
Phone (704) 995-3510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89902N4 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1962585547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4485 MARION DR",
"city": "TERRELL",
"state": "NC",
"postal_code": "286829782",
"telephone_number": "704-995-3510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 WILLIAMSON RD",
"address_2": "SUITE 203",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281175966",
"telephone_number": "704-662-6020",
"fax_number": "704-662-6880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMIERI",
"first_name": "ROBERTO",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "6946",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89902N4",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.