Organization Active NPI

Dr David E Paquette DDS Ms MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Charlotte, NC
National Provider Identifier
1780976720
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
4732 Issued in NC
Legal business name
DR DAVID E PAQUETTE DDS MS MSD
Practice address
8430 University Exec Park Dr
605
Charlotte, NC 28262-1350
Phone
(704) 737-9593
NPI assigned
May 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Dr. David Paquette, DDS MS MSDNPI 1811181035
Title
President/Owner
Phone
(704) 737-9593

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 4732 NC Primary

Addresses

Primary practice location

8430 University Exec Park Dr
605
Charlotte, NC 28262-1350

Mailing address

8430 University Exec Park Dr
605
Charlotte, NC 28262-1350

Other identifiers 1

IdentifierTypeStateIssuer
5916084MedicaidNC

Other names 1

  • Charlotte Orthodontic Associates Other name

National Provider Directory

National Provider Directory

Locations

8430 University Exec Park Dr
Ste 605
Charlotte, NC 28262
Phone (704) 549-1926

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1780976720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8430 UNIVERSITY EXEC PARK DR",
            "address_2": "605",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 UNIVERSITY EXEC PARK DR",
            "address_2": "605",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621350",
            "telephone_number": "704-737-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DAVID E PAQUETTE DDS MS MSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "PAQUETTE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "704-737-9593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "4732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916084",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlotte Orthodontic Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 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.

Verify at the official NPI Registry.