Individual provider Active NPI

Michelle Allar, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mooresville, NC
National Provider Identifier
1861781635
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
24344 Issued in MO
Practice address
452 Williamson Rd Ste a
Mooresville, NC 28117-9293
Phone
(704) 799-3777
Fax
(704) 761-4344
NPI assigned
Apr 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 24344 MO Primary

Addresses

Primary practice location

452 Williamson Rd Ste a
Mooresville, NC 28117-9293

Mailing address

452 Williamson Rd Ste a
Mooresville, NC 28117-9293
Phone (704) 799-3777

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

LicenseStateTypeSpecialty
24344MOMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1861781635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 WILLIAMSON RD STE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179293",
            "telephone_number": "704-799-3777",
            "fax_number": "704-761-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 WILLIAMSON RD STE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179293",
            "telephone_number": "704-799-3777",
            "fax_number": "704-761-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLAR",
        "first_name": "MICHELLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "24344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.