Malek & Knight DDS PA-Iil

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

07005 Issued in NC

Legal business name

MALEK & KNIGHT DDS PA-IIL

Doing business as

Axiom Dentistry of Leesville Road

Practice address

9201 Leesville Rd Ste 101
Raleigh, NC 27613

Phone

(919) 844-2250

Fax

(919) 844-2251

NPI assigned

Mar 27, 2018

Last updated

Mar 27, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

MOHAMMED MALEK, DDS MARY KNIGHT, DDS,PAAs reported in NPPES

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

Authorized official

Name

Tiffany Nicole Reynolds

Title

Regional Manager

Phone

(919) 266-3380

Specialties & licenses 1

Addresses

Other names 1

• Axiom Dentistry of Leesville Road Doing business as

Part of

Mohammed Malek DDS Mary Knight Ddspa

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mohammed Malek, DDS Mary Knight, DDS,PA

  • General Practice Dentistry
  • Knightdale, NC
  • NPI 1962479311
  NPPES parent name

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.

• Parisa Kasravi, DDS

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1013323310
  NPD (past)

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1811492382",
    "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",
            "telephone_number": "919-266-3380",
            "fax_number": "919-679-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 LEESVILLE RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27613",
            "telephone_number": "919-844-2250",
            "fax_number": "919-844-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALEK & KNIGHT DDS PA-IIL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOHAMMED MALEK, DDS MARY KNIGHT, DDS,PA",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "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": "919-266-3380"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "07005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axiom Dentistry of Leesville Road",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Axiom Dentistry of Leesville Road",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terence Joseph Makoid, AGNP
• Liehanna Makowski, RBT
• Malara Industries, Inc
• Weldon Yamil Maldonado Rodriguez, M.S., CCC-SLP
• Malek & Knight DDS PA VIII (Axiom Dentistry of Raleigh)
• Katelin Maley, FNP
• Jonathan A Malin, MD
• Lana Malki
• Mall (BEST Physical Therapy)
• Mitchell Shane Mallard, LMHC-S

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.