DR. KELLIE PAXTON (NPI# 1013930445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013930445 |
| Entity Type | Individual |
| Full Name | DR. KELLIE PAXTON |
| Credential | D.M.D., M.S. |
| Practice Address |
202 Williamson Rd Suite 202 Mooresville NC 28117-7610 |
| Practice Telephone | 7047990110 |
| Mailing Telephone | 7047990110 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2013-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
9583 | NC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811166226 | Kellie L Paxton | Speech-Language Pathologist | 5305 Village Pkwy Ste 1, Rogers, AR 72758-8116 | 2008-02-29 |
| Street Address |
202 WILLIAMSON RD SUITE 202 |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-7610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811985807 | David E Thome | Dentist | 202 Williamson Rd, Suite 200, Mooresville, NC 28117-7610 | 2005-10-12 |
| 1124457817 | David E Thome Dds Pllc II | Dentist | 202 Williamson Rd, Suite 200, Mooresville, NC 28117-7610 | 2013-11-04 |
| 1760822233 | Dana Troutman Deyton | Nurse Practitioner | 202 Williamson Rd, Suite 100, Mooresville, NC 28117-7610 | 2013-06-28 |
| 1861769119 | Mooresville Ppm LLC | Family Medicine | 202 Williamson Rd, Suite 100, Mooresville, NC 28117-7610 | 2011-11-30 |
| 1770860686 | Mooresville Ppm LLC | Orthopaedic Surgery | 202 Williamson Rd, Suite 100, Mooresville, NC 28117-7610 | 2011-11-05 |
| 1194741991 | William Roy Doheny | Family Medicine | 202 Williamson Rd, Suite 100, Mooresville, NC 28117-7610 | 2006-07-14 |
| 1205883113 | Holly Layman Bernardini | Family Medicine | 202 Williamson Rd, Suite 100, Mooresville, NC 28117-7610 | 2006-05-27 |
| 1093793283 | Rebecca Jane Appleton | Family Medicine | 202 Williamson Rd, Suite 100, Mooresville, NC 28117-7610 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
| 1992268544 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 392 Talbert Rd., Mooresville, NC 28117 | 2019-04-10 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1679044416 | May and Associates Therapy Center | Psychologist | 862 Brawley School Road, Suite 202, Mooresville, NC 28117 | 2018-12-05 |
| 1700360153 | Sabrina Chabot Hutchinson | Physical Therapist | 508 Williamson Rd, Suite 200, Mooresville, NC 28117 | 2018-09-21 |
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| 1073091310 | Jenelle Donzelli Nemeth | Registered Nurse | 102 Sapphire Drive, Mooresville, NC 28117 | 2018-07-30 |
| 1912497496 | Patsharx LLC | Pharmacy | 480 River Hwy, Suite A, Mooresville, NC 28117 | 2018-05-10 |
| 1427502434 | Counseling Service At Lake Norman, Pllc | Community/Behavioral Health | 18117 W. Catawba Avenue, Cornelius, NC 28117 | 2016-08-08 |
| 1447605928 | Renewal Counseling, Pllc | Counselor | 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 | 2016-05-03 |
| Find all providers in zip 28117 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861690034 | Alexander S. Kutuza | Dentist | 491 Williamson Rd, Suite 208, Mooresville, NC 28117-9252 | 2007-07-10 |
| 1689723199 | George Bryan Shuping | Dentist | 438 Williamson Rd, Mooresville, NC 28117-9185 | 2007-01-10 |
| 1346646460 | Alexander Kutuza D.m.d Pllc | Dentist | 491 Williamson Rd, Suite 208, Mooresville, NC 28117-9252 | 2014-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790256782 | Riccobene Associates Xxvii, Dds, P.a. | Dentist | 4400 Falls of Neuse Rd Ste 202, Raleigh, NC 27609-2507 | 2018-12-17 |
| 1912482704 | Glen Ajith Karunanayake | Dentist | Koury Oral Sciences 5th Floor Suite 5417a, Chapel Hill, NC 27599-0001 | 2018-09-27 |
| 1255818944 | Queen City Endodontics | Dentist | 5232 Albemarle Rd Ste C, Charlotte, NC 28212-3644 | 2018-07-25 |
| 1952891921 | Evan Novick Dmd Pa | Dentist | 3535 Randolph Rd Ste 101, Charlotte, NC 28211-1067 | 2018-05-15 |
| 1497266092 | Kerolos Ragaey Helmy Elsayed | Dentist | 2028 Litho Pl, Fayetteville, NC 28304-2537 | 2017-10-23 |
| 1528577780 | Peak Endodontics | Dentist | 1600 Olive Chapel Rd Ste 100, Apex, NC 27502-6765 | 2017-09-20 |
| 1689120438 | Travis Moore | Dentist | 2210 Wrightsville Ave Ste 5, Wilmington, NC 28403-2575 | 2016-08-31 |
| 1972059244 | Steven Campbell, Pllc | Dentist | 1400 Crescent Green Dr., Suite #200, Cary, NC 27518-8118 | 2016-08-28 |
| 1366995169 | Michael Mittelsteadt | Dentist | 1098 First Dental Building, Unc Department of Endodontics, Chapel Hill, NC 27599-7450 | 2016-07-27 |
| 1467809616 | Kathryn Teal Watts | Dentist | 5305345 Vining St Nw, #201, Concord, NC 28027 | 2016-05-18 |
| Find all providers with the same taxonomy | ||||
| City | MOORESVILLE |
| Zip Code | 28117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.