Organization Active NPI

Ryan Londry & David Modlin DDS, PLLC

Doing business as Denver Dentistry

  • General Practice Dentistry
  • Denver, NC
National Provider Identifier
1447792239
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9129 Issued in NC
Legal business name
RYAN LONDRY & DAVID MODLIN DDS, PLLC
Doing business as
Denver Dentistry
Practice address
2226 N Highway 16
Denver, NC 28037-8254
Phone
(704) 766-8944
NPI assigned
Nov 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Dr. David M Modlin Jr., DDS
Title
Owner
Phone
(828) 595-4516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9129 NC Primary

Addresses

Primary practice location

2226 N Highway 16
Denver, NC 28037-8254

Mailing address

19824 W Catawba Ave
Suite B
Cornelius, NC 28031-4046
Phone (704) 987-9087

Other names 1

  • Denver Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1447792239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19824 W CATAWBA AVE",
            "address_2": "SUITE B",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314046",
            "telephone_number": "704-987-9087",
            "fax_number": "704-987-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 N HIGHWAY 16",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378254",
            "telephone_number": "704-766-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN LONDRY & DAVID MODLIN DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "MODLIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-595-4516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denver Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.