Active NPI
Monica K Rendon, LMBT
- Specialist
- Mt Holly, NC
National Provider Identifier
1487946380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 10692
- Practice address
- 320 Langhorne Dr
Mt Holly, NC 28120-1452 - Phone
- (704) 421-2006
- Fax
- (704) 820-8043
- NPI assigned
- May 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 10692 | NC | Primary |
Addresses
Primary practice location
320 Langhorne Dr
Mt Holly, NC 28120-1452
Mailing address
320 Langhorne Dr
Mt Holly, NC 28120-1452
Phone (704) 421-2006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10692 | NC | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304985600000",
"number": "1487946380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 LANGHORNE DR",
"city": "MT HOLLY",
"state": "NC",
"postal_code": "281201452",
"telephone_number": "704-421-2006",
"fax_number": "704-820-8043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 LANGHORNE DR",
"city": "MT HOLLY",
"state": "NC",
"postal_code": "281201452",
"telephone_number": "704-421-2006",
"fax_number": "704-820-8043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENDON",
"first_name": "MONICA",
"middle_name": "K",
"credential": "LMBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-10",
"last_updated": "2011-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "10692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Holly, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.