Mohammad Malek, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

7005 Issued in NC

Practice address

1008 Big Oak CT
Suite C
Knightdale, NC 27545-8841

Phone

(919) 266-3380

Fax

(919) 266-3319

NPI assigned

Apr 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1174589907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 BIG OAK CT",
            "address_2": "SUITE C",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275458841",
            "telephone_number": "919-266-3380",
            "fax_number": "919-266-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 BIG OAK CT",
            "address_2": "SUITE C",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275458841",
            "telephone_number": "919-266-3380",
            "fax_number": "919-266-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEK",
        "first_name": "MOHAMMAD",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "7005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899016V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lydia Marie Lucey, M.ED, ED.S
• Lynnray Medical Supply
• M B Patel DMD PA
• Majestic Health Wellness and Womens Care
• Malek & Knight DDS PA IV
• Malek& Knight, DDS 2
• Kamaran Annette Malone
• Sara Malone
• Latonya Patterson Mangum, MSW, LCSW, LCAS, CCS
• Annmarie Margaret Marchese, M.S., CCC-SLP

• Dentist in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.