Organization Active NPI

Lisa Candon, DDS, PLLC

  • Pediatric Dentistry
  • Matthews, NC
National Provider Identifier
1629981543
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
LISA CANDON, DDS, PLLC
Practice address
14722 Lawyers Rd
Matthews, NC 28104
Phone
(704) 322-4496
Fax
(704) 322-4498
NPI assigned
Sep 23, 2026
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Lisa Candon, DDSNPI 1649625518
Title
Owner
Phone
(704) 763-8188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

14722 Lawyers Rd
Matthews, NC 28104

Mailing address

212 Pumpkin Seed CT
Matthews, NC 28104-0006
Phone (704) 763-8188

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1629981543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 PUMPKIN SEED CT",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281040006",
            "telephone_number": "704-763-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14722 LAWYERS RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "28104",
            "telephone_number": "704-322-4496",
            "fax_number": "704-322-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA CANDON, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "CANDON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-763-8188",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.