Avery'S Creek Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

9335 Issued in NC

Legal business name

AVERY'S CREEK FAMILY DENTISTRY

Practice address

1748 Brevard Rd
Arden, NC 28704-9658

Phone

(828) 676-2114

NPI assigned

Dec 29, 2016

Organization subpart

No

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

Authorized official

Name

Melanie Casey

Title

Dentist

Phone

828676211446

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Avery'S Creek Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Melanie Ruth Casey, PLLC

  • General Practice Dentistry
  • Arden, NC
  • NPI 1326447871
  NPD tax ID

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1922543909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 BREVARD RD",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287049658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 BREVARD RD",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287049658",
            "telephone_number": "828-676-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERY'S CREEK FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "828676211446"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "9335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326447871",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sophie Leigh Austin, MD
• Alizey Ayesha
• B Barroso-Bernier and Associates PLLC
• Kyle Frank Bailey, PAC
• Sherry Clayton Baldwin, PHD, CTS, NCLPC, NCC
• Bailey Schultz Balentine, D.O.

• All providers in Arden, NC
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.