Katrina Lavalliere, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

11384 Issued in NC

Practice address

118 S Colonial Ave Unit B
Charlotte, NC 28207-1465

Phone

(704) 332-6200

NPI assigned

Jun 5, 2019

Last updated

May 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Katrina M. Lavalliere, D.D.S, P.L.L.C.

  dba Lavalliere Dentistry

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1437904075
  NPD Authorized official
• Kyle W. Taylor, D.D.S., P.a. II

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1023144953
  NPD (past)
• Modlin & Londry DDS PA

  dba Dental Connection

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1881933638
  NPD (past)

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1184282071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S COLONIAL AVE STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071465",
            "telephone_number": "704-962-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S COLONIAL AVE UNIT B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071465",
            "telephone_number": "704-332-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVALLIERE",
        "first_name": "KATRINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Rose Functional Nutrition
• Laurel OB GYN Associates, P.a.
• Helene J. Laurenti, PH.D.
• Laurie Fford Counseling and Consulting PLLC
• Teri Anne Lavallee, PT, DPT, ATRIC, ITPT
• Chandani Lavani
• Michael Todd Lavelle, M.D.
• Tara Lavelle, RD, LDN
• Andrea Ruth Lavigne-Hagen, PA-C
• Alexa Lavin

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.