Evan Novick DMD PA

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

10443 Issued in NC

Legal business name

EVAN NOVICK DMD PA

Practice address

3535 Randolph Rd Ste 101
Charlotte, NC 28211-1067

Phone

(704) 366-3452

NPI assigned

May 15, 2018

Last updated

May 15, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Evan Novick, DMDNPI 1932338605

Title

President

Phone

(781) 248-3493

Specialties & licenses 1

Addresses

Locations

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.

• Evan Novick, D.M.D.

  • Endodontics
  • Charlotte, NC
  • NPI 1932338605
  NPD (past) Authorized official

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1952891921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 EMORY OAK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282709813",
            "telephone_number": "781-248-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 RANDOLPH RD STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111067",
            "telephone_number": "704-366-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN NOVICK DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "NOVICK",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-248-3493",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "10443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eula Home Care Agency, LLC
• Euro Hearing Solutions Corp.
• Morgan Eury
• Evan K Smith DMD PLLC
• Evan N. Miller, DDS, PA
• Diane Evans - Blake, SLP
• Adrienne Coker Evans, M.D.
• Andrea M Evans, LCASA
• Anne K Evans, OT
• Ashley Evans

• Endodontics in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Endodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.