DR. JULIE CUSTRED SPIVEY (NPI# 1396057006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396057006 |
| Entity Type | Individual |
| Full Name | DR. JULIE CUSTRED SPIVEY |
| Credential | DMD |
| Practice Address |
4901 N Tryon St Unit A Charlotte NC 28213-7076 |
| Practice Telephone | 7049210204 |
| Mailing Telephone | 7049210204 |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2016-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
5764 | AL | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
10515 | NC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336423425 | Julie K Spivey | Pharmacist | 627 W 4th St, Lexington, KY 40508-1207 | 2011-10-06 |
| Street Address |
4901 N TRYON ST UNIT A |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28213-7076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912427 | Rafael Rivera Jr. | Dentist | 4901 N Tryon St, Charlotte, NC 28213-7033 | 2005-06-14 |
| 1871800979 | Dipti V. Patel | Dentist | 4901 N Tryon St, Charlotte, NC 28213-7076 | 2010-09-10 |
| 1912230236 | Sarah Catherine Williamson | Dentist | 4901 N Tryon St, Suite A, Charlotte, NC 28213-7076 | 2009-09-18 |
| 1265667000 | Ashley Hunt Chandler | Dentist | 4901 N Tryon St, Charlotte, Charlotte, NC 28213-7076 | 2009-05-22 |
| 1194994004 | Rafael Rivera, Jr, Dds, Pllc | Dentist | 4901 N Tryon St, Charlotte, NC 28213-7033 | 2008-02-25 |
| 1902918444 | Kimberly Joi Minor | Dentist | 4901 N Tryon St, Charlotte, NC 28213-7033 | 2006-08-31 |
| 1134237878 | Jeffrey Frank Zieziula | Dentist | 4901 N Tryon St, Charlotte, NC 28213-7033 | 2006-08-25 |
| 1386752061 | Frank Kendrick | Dentist | 4901 N Tryon St, Charlotte, NC 28213-7033 | 2006-08-25 |
| 1386752046 | Catherine Kim Schneider | Dentist | 4901 N Tryon St, Charlotte, NC 28213-7033 | 2006-08-25 |
| 1598700775 | Michael A Derose Dds Pa | Dentist | 4901 N Tryon St, Charlotte, NC 28213-7033 | 2006-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194288241 | Tonya Denise Farmer | Nurse Practitioner | 620 Tom Hunter Road, Charlotte, NC 28213 | 2019-04-06 |
| 1447743331 | April Neville | Counselor | 2442 Ryerson Ct, Charlotte, NC 28213 | 2018-06-14 |
| 1194234328 | Specialized Health Care Services | Case Management | 2750 E. Wt Harris Blvd, Suite 128, Charlotte, NC 28213 | 2017-09-19 |
| 1871016816 | Monarch | Occupational Therapist | 1810 Back Creek Drive, Charlotte, NC 28213 | 2017-07-21 |
| 1609306778 | Mackenzie Cashman Precht | Physician Assistant | 2225 E W T Harris Blvd Unit B, Charlotte, NC 28213 | 2017-06-12 |
| 1861939118 | Nensi Pandya | Pharmacist | 10227 University City Blvd, Charlotte, NC 28213 | 2017-01-25 |
| 1952721458 | Morgan Washington | Specialist/Technologist | 2336 Comfrey Court, Charlotte, NC 28213 | 2014-04-23 |
| 1992132393 | Midway Healthcare | Home Health | 6003 Dovetree Lane Suite D, Charlotte, NC 28213 | 2013-09-30 |
| 1932445178 | Zachary Gachogu Kariuki | Counselor | 10417 Round Leaf Drive, Charlotte, NC 28213 | 2012-12-17 |
| 1962747675 | Crystal Cherie Simmons | Counselor | 13724 Riding Hill Ave, Charlotte, NC 28213 | 2012-12-06 |
| Find all providers in zip 28213 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336607340 | Arpita Patel, Dmd, Pa | Dentist | 2400 South Blvd Ste 100, Charlotte, NC 28203-5773 | 2019-03-08 |
| 1598247579 | S. Vakil Dds Ms I, Pa | Dentist | 6331 Carmel Rd Ste 101, Charlotte, NC 28226-8246 | 2018-09-05 |
| 1366971384 | Young and Polite Young Dds Pa | Dentist | 3010 Baucom Rd Ste 100, Charlotte, NC 28269-6767 | 2017-06-05 |
| 1174972756 | Brandy Edmonds | Dentist | 2630 W Arrowood Rd Ste C, Charlotte, NC 28273-6263 | 2016-06-06 |
| 1487032850 | John Michael Bakarich | Dentist | 7741 Ballantyne Commons Pkwy Ste 101, Charlotte, NC 28277-4140 | 2015-05-18 |
| 1568840403 | Carson Rutledge | Dentist | 2700 Coltsgate Rd Ste 204, Charlotte, NC 28211-3573 | 2015-05-12 |
| 1578962254 | Sonam Shah Patel | Dentist | 17214 Lancaster Hwy Ste 301, Charlotte, NC 28277-2093 | 2014-08-18 |
| 1215343421 | Marcela Mujica Dmd | Dentist | 2630 W Arrowood Rd, Suite C, Charlotte, NC 28273-6134 | 2014-07-08 |
| 1841626835 | R. Corey Snow, Dmd and Jason K. Snow, Dds, Pllc | Dentist | 2620 Central Ave, Charlotte, NC 28205-5335 | 2013-09-23 |
| 1427344357 | Oscar Nzita Mvula | Dentist | 1515 Mainline Blvd, Apt 7202, Charlotte, NC 28203-0521 | 2011-06-20 |
| Find all providers in CHARLOTTE | ||||
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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.