Malek & Knight, DDS PA VII

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

07005 Issued in NC

Legal business name

MALEK & KNIGHT, DDS PA VII

Doing business as

Axiom Dentistry of Louisburg

Practice address

110 Shannon VLG
Louisburg, NC 27549-2606

Phone

(919) 496-3388

NPI assigned

Jun 29, 2017

Organization subpart

No

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

Authorized official

Name

Miss Tiffany Nicole Reynolds

Title

Regional Manager

Phone

(919) 495-7043

Specialties & licenses 1

Addresses

Other names 1

• Axiom Dentistry of Louisburg Doing business as

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498694400000",
    "number": "1982125936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275490297",
            "telephone_number": "919-495-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SHANNON VLG",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492606",
            "telephone_number": "919-496-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALEK & KNIGHT, DDS PA VII",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "919-495-7043",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "07005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axiom Dentistry of Louisburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Louisburg Senior Village
• Sarah Georgieva Lukov, PT, DPT, CLT
• Roniecia Henderson Mack
• Casey Daniel Mackey, MSW
• Katrina Magbie, LMT
• Bobby Donnell Massenburg Sr.
• Alyssa Massengill
• Martha Matthews, PTA
• Maxim Habilitation Services, LLC
• Maxim Healthcare Services, Inc

• General Practice Dentistry in Louisburg, NC
• Providers in Louisburg, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; 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.