DR. JEFFREY ALAN DITESHEIM M.D.
NPI 1780660019
Surgery - Plastic and Reconstructive Surgery in Charlotte, NC

Q: What is Jeffrey Ditesheim's NPI number?

The NPI number for Jeffrey Ditesheim is 1780660019. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Q: What is Jeffrey Ditesheim's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Ditesheim was last updated on December 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 19, 2005

9336 BLAKENEY CENTER DRIVE, SUITE 130, CHARLOTTE, NC 28277(704) 542-8686(704) 542-8696 Get Directions Write a Review

NPPES record last updated: December 1, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jeffrey Alan Ditesheim M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY ALAN DITESHEIM M.D. (NPI 1780660019) is an individual plastic and reconstructive surgery provider in Charlotte, North Carolina, licensed in North Carolina (9501222) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1780660019

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameDR. JEFFREY ALAN DITESHEIMCredential: M.D.

Location Address9336 BLAKENEY CENTER DRIVE, SUITE 130Charlotte, NC 28277

Mailing Address9336 Blakeney Center Drive, Suite 130Charlotte, NC 28277 · (704) 542-8686 · Fax (704) 542-8696

Phone(704) 542-8686

Fax(704) 542-8696

Sole ProprietorNo

Enumeration DateDecember 19, 2005

Last NPPES UpdateDecember 1, 2008

✔ NPI 1780660019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in NC · 9501222

Definition

A surgeon who specializes in plastic and reconstructive surgery.

9336 BLAKENEY CENTER DRIVE, Charlotte, NC 28277

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Other Identifiers 2

Medicare ID-Type Unspecified2217077ANC

Medicare UPING16740NC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCHNEIDER, D.D.S.& KYE, D.D.S., PA

Clinic/Center (Dental)

9336 BLAKENEY CENTER DRIVE, SUITE 100-A
CHARLOTTE, NC 28277

Mecklenburg County (704) 759-8210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Ditesheim's NPI number?

The NPI number for Jeffrey Ditesheim is 1780660019. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Where is Jeffrey Ditesheim located?

Jeffrey Ditesheim practices at 9336 Blakeney Center Drive Suite 130, Charlotte, NC 28277. The listed phone number is (704) 542-8686.

What is Jeffrey Ditesheim's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Jeffrey Ditesheim was last updated on December 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.