Julie C. Spivey, D.M.D., P.L.L.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

10515 Issued in NC

Legal business name

JULIE C. SPIVEY, D.M.D., P.L.L.C.

Doing business as

Lake Norman Pediatric Dentistry

Practice address

407 N NC 16 Business Hwy
Denver, NC 28037-6003

Phone

(205) 540-6928

NPI assigned

May 12, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Julie C. Spivey, DMD

Title

Owner/Manager

Phone

(205) 540-6928

Specialties & licenses 1

Addresses

Other names 1

• Lake Norman Pediatric Dentistry Doing business as

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

{
    "created_epoch": "1526083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526083200000",
    "number": "1922598275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 WILMORE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034343",
            "telephone_number": "205-540-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N NC 16 BUSINESS HWY",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280376003",
            "telephone_number": "205-540-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE C. SPIVEY, D.M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-12",
        "last_updated": "2018-05-12",
        "status": "A",
        "authorized_official_last_name": "SPIVEY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "205-540-6928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "10515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Norman Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney S Jones, LCSW
• Gary S. Jones, DDS, PA
• Jessica Swann Jones, DO
• Jill P Josephson, MD
• Julissa Grace Joyce, MD
• JW Counseling PLLC
• K. Jasinski, D.M.D., P.C.
• K. Jasinski, D.M.D., P.C.
• Darren Steven Kalkan, DC
• Emma Kelley

• Dental Clinic/Center in Denver, NC
• Providers in Denver, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2018; 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.