Organization Active NPI

Londry & Modlin III, DDS, PLLC

Doing business as City Dental

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1861897829
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5190 Issued in NC
Legal business name
LONDRY & MODLIN III, DDS, PLLC
Doing business as
City Dental
Practice address
1716 Kenilworth Ave
Ste 180
Charlotte, NC 28203-6085
Phone
(980) 207-4437
NPI assigned
Nov 3, 2014
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Ryan Michael LondryNPI 1447544267
Title
Owner
Phone
(704) 997-8878

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
General Practice Dentistry 1223G0001X 5190 NC Primary

Addresses

Primary practice location

1716 Kenilworth Ave
Ste 180
Charlotte, NC 28203-6085

Mailing address

1716 Kenilworth Ave
Ste 180
Charlotte, NC 28203-6085
Phone (980) 207-4437

Other names 1

  • City Dental 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1861897829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 KENILWORTH AVE",
            "address_2": "STE 180",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036085",
            "telephone_number": "980-207-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 KENILWORTH AVE",
            "address_2": "STE 180",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036085",
            "telephone_number": "980-207-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONDRY & MODLIN III, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "LONDRY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-997-8878"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 14, 2025; 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.