OrganizationActive
Lake Norman Plastic Surgery
NPI 1710916960 · Specialist · Mooresville, NC
Lake Norman Plastic Surgery is a Specialist organization in Mooresville, NC (NPI 1710916960).
Provider details
- NPI number
- 1710916960
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Adam Ravin, Owner(704) 658-9921
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Lake Norman Medical & Professional Plaza, Suite 106
146 Medical Park Rd.
Mooresville, NC 28117
Phone: (704) 658-9921
Fax: (704) 658-9928
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 15133
Durham, NC 27704-0133
Registry dates
- Enumerated
- 2006-07-01
- Last updated
- 2009-03-05
Frequently asked questions
- What is Lake Norman Plastic Surgery's NPI number?
- Lake Norman Plastic Surgery's National Provider Identifier (NPI) is 1710916960, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Norman Plastic Surgery?
- Lake Norman Plastic Surgery is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Lake Norman Plastic Surgery located?
- Lake Norman Plastic Surgery's practice location on file with NPPES is Lake Norman Medical & Professional Plaza, Suite 106, Mooresville, NC 28117.
- What is Lake Norman Plastic Surgery's phone number?
- The practice phone number listed in the NPPES registry for Lake Norman Plastic Surgery is (704) 658-9921.
- Who is the authorized official for Lake Norman Plastic Surgery?
- The authorized official listed on Lake Norman Plastic Surgery's NPPES record is Adam Ravin, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Norman Plastic Surgery's NPI active?
- Yes — Lake Norman Plastic Surgery's NPI (1710916960) is active in the NPPES registry as of the last update on 2009-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.