Organization Active NPI

Queens Road Dental Associates

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1992044978
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
QUEENS ROAD DENTAL ASSOCIATES
Practice address
200 Queens Rd
Suite 310
Charlotte, NC 28204-3253
Phone
(704) 334-5306
NPI assigned
Feb 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Authorized official

Name
Adrian Lineberger IV, DDS
Title
Dentist
Phone
(704) 334-5306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

200 Queens Rd
Suite 310
Charlotte, NC 28204-3253

Mailing address

200 Queens Rd
Suite 310
Charlotte, NC 28204-3253
Phone (704) 334-5306

National Provider Directory

National Provider Directory

Locations

200 Queens Rd
Ste 310
Charlotte, NC 28204
Phone (704) 334-5306

NPI Registry JSON

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1992044978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 QUEENS RD",
            "address_2": "SUITE 310",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043253",
            "telephone_number": "704-334-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 QUEENS RD",
            "address_2": "SUITE 310",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043253",
            "telephone_number": "704-334-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS ROAD DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-11",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "LINEBERGER",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "704-334-5306",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Feb 11, 2013; 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.