Active NPI
Christopher Scott Millsaps, DDS
- General Practice Dentistry
- Charlotte, NC
National Provider Identifier
1982850814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8675
- Practice address
- 3053 Freedom Dr Ste B
Charlotte, NC 28208-3862 - Phone
- (704) 393-3911
- Fax
- (704) 392-1096
- NPI assigned
- Aug 12, 2008
- 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 | 8675 | NC | Primary |
Addresses
Primary practice location
3053 Freedom Dr Ste B
Charlotte, NC 28208-3862
Mailing address
2211 Executive St
Suite E
Charlotte, NC 28208-3661
Phone (704) 395-6000
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 |
|---|---|---|---|
| 8675 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael a Derose DDS PA | General Practice | Past | Accepting new patients |
| Rafael Rivera, Jr., DDS, PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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 1598793242
-
dba SmileStarters
- Dentist
- Charlotte, NC
- NPI 1528237435
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1982850814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 EXECUTIVE ST",
"address_2": "SUITE E",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282083661",
"telephone_number": "704-395-6000",
"fax_number": "704-398-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3053 FREEDOM DR STE B",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282083862",
"telephone_number": "704-393-3911",
"fax_number": "704-392-1096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLSAPS",
"first_name": "CHRISTOPHER",
"middle_name": "SCOTT",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-12",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "8675",
"primary": true
}
],
"identifiers": [],
"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 Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.