Bevin Kiley Malley, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8238 Issued in NC

Practice address

5408 W Friendly Ave
Greensboro, NC 27410-4367

Phone

(336) 292-7113

NPI assigned

Aug 4, 2006

Last updated

Sep 11, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bmalley499469@carolinashealthcaresystem.direct-ci.com

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.

• Bevin K Malle DDS PA II

  dba Carolin Kids Dentistry 2

  • General Practice Dentistry
  • Waxhaw, NC
  • NPI 1154981371
  NPD (past) Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1356359004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S ELM ST",
            "address_2": "UNIT 310",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012774",
            "telephone_number": "614-638-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5408 W FRIENDLY AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104367",
            "telephone_number": "336-292-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLEY",
        "first_name": "BEVIN",
        "middle_name": "KILEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21176",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "8238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella Makuza
• Edgardo Maldonado, MD
• Kamila Anna Maldonado, RN
• Nataliya Hristova Malinova, CRNA
• Chad Mallamo-Janski
• Brea Mallory
• Julia Elizabeth Mallory, M.D.
• Bethany Demasie Malloy, CCC-SLP
• Randy Malloy, PHARM.D.
• Tasia Monique Malloy, BD(DONA)

• Pediatric Dentistry in Greensboro, NC
• Providers in Greensboro, 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 11, 2025; 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.