Bevin K Malley DDS PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8238 Issued in NC

Legal business name

BEVIN K MALLEY DDS PA

Doing business as

Carolina Kids Dentistry

Practice address

6918 Garden Terrace CT
Charlotte, NC 28210-2706

Phone

(704) 790-0590

Fax

(704) 790-0593

NPI assigned

Sep 21, 2010

Last updated

Sep 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bevin Kiley Malley, D.D.S.

Title

Pediatric Dentist

Phone

(704) 790-0590

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Carolina Kids Dentistry Doing business as

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1023326287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 GARDEN TERRACE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282102706",
            "telephone_number": "704-790-0590",
            "fax_number": "704-790-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6918 GARDEN TERRACE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282102706",
            "telephone_number": "704-790-0590",
            "fax_number": "704-790-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVIN K MALLEY DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "MALLEY",
        "authorized_official_first_name": "BEVIN",
        "authorized_official_middle_name": "KILEY",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "704-790-0590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "8238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1356359004",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906.301",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael C Beuhler, MD
• Maureen Beurskens, MD
• Christine Bevan, LPC
• Patricia A Beverly, M.A.CCC-SP
• Rebecca K Bevilacqua, NP
• Megan Bevington, MS, OTR/L
• Melissa Haikal Bevins, PA-C
• Christopher Scott Bewley, M.D.
• Emily Bey
• Isis A Bey, MSW, LCSW

• Pediatric Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.