Active NPI
Kaitlin Valerio, DDS
- Pediatric Dentistry
- Mooresville, NC
National Provider Identifier
1891282976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 11966
- Practice address
- 202 Williamson Rd Ste 200
Mooresville, NC 28117-7611 - Phone
- (704) 360-8670
- NPI assigned
- Apr 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 390200000X | NY | |
| Pediatric Dentistry | 1223P0221X | 11966 | NC | Primary |
Addresses
Primary practice location
202 Williamson Rd Ste 200
Mooresville, NC 28117-7611
Mailing address
9808 Holly Center Dr Apt 109
Huntersville, NC 28078-5112
Other practice location 1
100 Nicolls Rd Rm Rochland
Stony Brook, NY 11794-0001
Phone (631) 632-3181
Other practice location 2
140 Mahaley Ave Ste B
Salisbury, NC 28144-2449
Phone (704) 637-5506
Other names 1
- Kaitlin Nowling
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
| License | State | Type | Specialty |
|---|---|---|---|
| 390200000X | NY | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- kvalerio671068@direct.medicine.duke.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601164800000",
"number": "1891282976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9808 HOLLY CENTER DR APT 109",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 WILLIAMSON RD STE 200",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281177611",
"telephone_number": "704-360-8670"
}
],
"practiceLocations": [
{
"address_1": "100 Nicolls Rd Rm Rochland",
"address_purpose": "LOCATION",
"city": "Stony Brook",
"state": "NY",
"postal_code": "117940001",
"country_code": "US",
"telephone_number": "631-632-3181",
"fax_number": "631-632-8717",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "140 Mahaley Ave Ste B",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "NC",
"postal_code": "281442449",
"country_code": "US",
"telephone_number": "704-637-5506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALERIO",
"first_name": "KAITLIN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-15",
"last_updated": "2020-09-27",
"certification_date": "2020-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "390200000X",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "11966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAITLIN",
"last_name": "NOWLING",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}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 Sep 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.