NPIMap

Organization Active NPI

Malek & Knight DDS PA VIII

Doing business as Axiom Dentistry of Raleigh

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1568971927
Registry record updated Sep 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7005 Issued in NC
Legal business name
MALEK & KNIGHT DDS PA VIII
Doing business as
Axiom Dentistry of Raleigh
Practice address
3141 Capital Blvd Ste 107
Raleigh, NC 27604-3378
Phone
(919) 876-5236
NPI assigned
Sep 28, 2017
Last updated
Sep 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2017

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

Authorized official

Name
Miss Tiffany Nicole Reynolds
Title
Regional Manager
Phone
(919) 495-7043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7005 NC Primary

Addresses

Primary practice location

3141 Capital Blvd Ste 107
Raleigh, NC 27604-3378

Mailing address

1008 Big Oak CT Ste C
Knightdale, NC 27545-6566

Other names 1

  • Axiom Dentistry of Raleigh 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": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506556800000",
    "number": "1568971927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 BIG OAK CT STE C",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 CAPITAL BLVD STE 107",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043378",
            "telephone_number": "919-876-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALEK & KNIGHT DDS PA VIII",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-09-28",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "919-495-7043",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axiom Dentistry of Raleigh",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; 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.