Organization Active NPI

Londry & Modlin Xiv DDS PLLC

  • General Practice Dentistry
  • Statesville, NC
National Provider Identifier
1851134829
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LONDRY & MODLIN XIV DDS PLLC
Practice address
2117 Simonton Rd Ste 403
Statesville, NC 28625-8402
Phone
(704) 873-8899
NPI assigned
Jun 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Authorized official

Name
Jessica Hunter
Title
Director of Network Relations
Phone
(704) 780-4597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2117 Simonton Rd Ste 403
Statesville, NC 28625-8402

Mailing address

20311 Chartwell Center Dr.
PO Box 2127
Cornelius, NC 28031-2127

Other names 1

  • Justice Family Dentistry Doing business as

National Provider Directory

National Provider Directory

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": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1851134829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20311 CHARTWELL CENTER DR.",
            "address_2": "PO BOX 2127",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280312127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 SIMONTON RD STE 403",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286258402",
            "telephone_number": "704-873-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONDRY & MODLIN XIV DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DIRECTOR OF NETWORK RELATIONS",
        "authorized_official_telephone_number": "704-780-4597"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Justice Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Justice Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.