David Michael Modlin Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9129 Issued in NC

Practice address

8128 Renaissance Pkwy
Suite 203
Durham, NC 27713-6695

Phone

(919) 493-3355

NPI assigned

Jun 6, 2011

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

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Dinah B Vice DDS PA X

  dba Sunrise Sleep Solutions

  • Dentist
  • Durham, NC
  • NPI 1255681565
  NPD (past)
• Sunrise Dental Dr. Dinah B. Vice and Associates

  • Dentist
  • Durham, NC
  • NPI 1588815799
  NPD (past)

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1205120417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 KISSIMEE CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8128 RENAISSANCE PKWY",
            "address_2": "SUITE 203",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136695",
            "telephone_number": "919-493-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODLIN",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Joy Modell Parrish, DO
• Modern Change PLLC
• Modern Mama Lactation Consulting
• Modern Social Solutions PLLC
• Hemal R Modi, RPH
• Rekha Natwar Mody, M.D.
• Donald Moede
• Rebekah White Moehring, MD
• Karen Lynn Moen
• Jerelyn Moffet

• General Practice Dentistry in Durham, NC
• Providers in Durham, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.