Organization Active NPI

M. Avey & Associates NC PC IV

Doing business as GoKids Pediatric Dentistry

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Charlotte, NC
National Provider Identifier
1437775749
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
M. AVEY & ASSOCIATES NC PC IV
Doing business as
GoKids Pediatric Dentistry
Practice address
17214 Lancaster Hwy Ste 301
Charlotte, NC 28277-2093
Phone
(704) 703-2177
NPI assigned
Jun 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Martin C. Avey, D.M.D., M.S.
Title
President
Phone
(803) 650-3068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

17214 Lancaster Hwy Ste 301
Charlotte, NC 28277-2093

Mailing address

3121 Springbank LN Ste G
Charlotte, NC 28226-3347
Phone (704) 516-2496

Other identifiers 1

IdentifierTypeStateIssuer
10278OtherNCNC DENTAL LICENSE

Other names 1

  • GoKids Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

17214 Lancaster Hwy
Ste 301
Charlotte, NC 28277
Phone (704) 703-2177

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1437775749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 SPRINGBANK LN STE G",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263347",
            "telephone_number": "704-516-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17214 LANCASTER HWY STE 301",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772093",
            "telephone_number": "704-703-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. AVEY & ASSOCIATES NC PC IV",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "AVEY",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-650-3068",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC DENTAL LICENSE",
            "identifier": "10278",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GoKids Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GoKids Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.