Active NPI
Allison McMahon, D.D.S.
- Pediatric Dentistry
- Charlotte, NC
National Provider Identifier
1689849663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 12090
- Practice address
- 6331 Carmel Rd Ste 101
Charlotte, NC 28226-8286 - Phone
- (047) 413-0707
- NPI assigned
- Apr 29, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 12090 | NC | Primary |
| Pediatric Dentistry | 1223P0221X | 021.002355 | IL |
Addresses
Primary practice location
6331 Carmel Rd Ste 101
Charlotte, NC 28226-8286
Mailing address
6331 Carmel Rd Ste 101
Charlotte, NC 28226-8286
Phone (047) 413-0707
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 |
|---|---|---|---|
| 021.002355 | IL | MD | Pediatric Dentist |
| 12090 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1689849663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6331 CARMEL RD STE 101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282268286",
"telephone_number": "047-413-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6331 CARMEL RD STE 101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282268286",
"telephone_number": "047-413-0707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "ALLISON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-29",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "12090",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "IL",
"license": "021.002355",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.