NPIMap

Organization Active NPI

Ali Shahrestani, D.M.D., PLLC

  • Dentist
  • Charlotte, NC
National Provider Identifier
1972240455
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ALI SHAHRESTANI, D.M.D., PLLC
Practice address
8956 J M Keynes Dr Ste 500
Charlotte, NC 28262-8626
Phone
(980) 890-7590
Fax
(980) 895-4454
NPI assigned
May 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Ali Shahrestani, DMD
Title
Owner Dentist
Phone
(980) 890-7590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

8956 J M Keynes Dr Ste 500
Charlotte, NC 28262-8626

Mailing address

PO Box 920050
Dallas, TX 75392-0050

Other names 1

  • University Modern Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ali Shahrestani DMD PLLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8956 J M Keynes Dr
Ste 500
Charlotte, NC 28262
Phone (980) 890-7590

Practitioners & affiliated clinicians

Practitioners 5

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": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1972240455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8956 J M KEYNES DR STE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628626",
            "telephone_number": "980-890-7590",
            "fax_number": "980-895-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI SHAHRESTANI, D.M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "SHAHRESTANI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "980-890-7590",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Modern Dentistry",
            "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 May 17, 2022; 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.