JOHN OMALLEY (NPI# 1659543155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659543155 |
| Entity Type | Individual |
| Full Name | JOHN OMALLEY |
| Credential | D.M.D. |
| Practice Address |
2007 Randolph Rd Charlotte NC 28207-1233 |
| Mailing Address |
1928 Trillium Ln Charlotte NC 28211-4445 |
| Practice Telephone | 7043741221 |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3852 | NC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811996200 | John Edward Omalley | Psychiatry & Neurology | 402 S 4th Ave, Yakima, WA 98902-3546 | 2005-07-18 |
| 1376671172 | John Omalley | Counselor | 1800 112th Ave Ne Ste 260e, Bellevue, WA 98004-2937 | 2007-03-01 |
| Street Address |
2007 RANDOLPH RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003296831 | Jesse Eric Ricciuti | Dentist | 10042 Park Cedar Dr Ste B, Charlotte, NC 28210 | 2015-06-07 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1619314556 | George Yi Jaan Soung | Dentist | 5700 University Pointe Blvd Ste 104, Charlotte, NC 28262-5026 | 2013-06-02 |
| 1013278696 | Andrew Henry | Dentist | 8840 Blakeney Professional Dr Ste 300, Charlotte, NC 28277-6749 | 2012-05-31 |
| 1861703183 | Carrie A Baldwin | Dentist | 1601 Abbey Pl Ste 220, Charlotte, NC 28209-3825 | 2010-07-01 |
| 1407011927 | Karthik Kanakasundaram Naidu | Dentist | 5700 University Pointe Blvd, Suite 104, Charlotte, NC 28262-5026 | 2008-07-24 |
| 1861650095 | Mid Michigan Oral Surgery | Dentist | 110 N Cochran Ave, Charlotte, MI 48813-1508 | 2008-05-23 |
| 1942474077 | Waheed V Mohamed | Dentist | 411 Billingsley Rd., Suite 105, Charlotte, NC 28211 | 2008-04-18 |
| 1679756597 | Robert L Seymour Dds Pa | Dentist | 2711 Randolph Rd Ste 510, Charlotte, NC 28207-2027 | 2007-12-13 |
| 1558426874 | John P Omalley Dmd Pa | Dentist | 2007 Randolph Road, Charlotte, NC 28207 | 2006-12-27 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.