NPIMap

Organization Active NPI

Ronnie G Davidson II DMD and Jarrett M Burr DDS

Doing business as Total Dental Care of Lake Norman

  • Dental Clinic/Center
  • Mooresville, NC
National Provider Identifier
1205257839
Registry record updated Dec 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7363 Issued in NC
Legal business name
RONNIE G DAVIDSON II DMD AND JARRETT M BURR DDS
Doing business as
Total Dental Care of Lake Norman
Practice address
134 N Magnolia St
Mooresville, NC 28115-2587
Phone
(704) 663-1800
Fax
(704) 662-9569
NPI assigned
Dec 28, 2013
Last updated
Dec 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2013

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

Authorized official

Name
Dr. Ronnie G Davidson II, DMDNPI 1811058969
Title
Manager
Phone
(704) 663-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7363 NC Primary

Addresses

Primary practice location

134 N Magnolia St
Mooresville, NC 28115-2587

Mailing address

134 N Magnolia St
Mooresville, NC 28115-2587
Phone (704) 663-1800

Other names 1

  • Total Dental Care of Lake Norman Doing business as

National Provider Directory

National Provider Directory

Locations

134 N Magnolia St
Mooresville, NC 28115
Phone (704) 663-1800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1388188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388188800000",
    "number": "1205257839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 N MAGNOLIA ST",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152587",
            "telephone_number": "704-663-1800",
            "fax_number": "704-662-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 N MAGNOLIA ST",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152587",
            "telephone_number": "704-663-1800",
            "fax_number": "704-662-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONNIE G DAVIDSON II DMD AND JARRETT M BURR DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-28",
        "last_updated": "2013-12-28",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-663-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "7363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Dental Care of Lake Norman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2013; 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.