NPIMap

Organization Active NPI

Kyle W. Taylor, D.D.S., P.a. II

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1023144953
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5190 Issued in NC
Legal business name
KYLE W. TAYLOR, D.D.S., P.A. II
Practice address
8732 University City Blvd
Charlotte, NC 28213-3558
Phone
(704) 549-1911
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Dr. Kyle W Taylor, DDS
Title
President
Phone
(704) 549-1911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5190 NC Primary

Addresses

Primary practice location

8732 University City Blvd
Charlotte, NC 28213-3558

Mailing address

17208 Connor Quay CT
Cornelius, NC 28031-6503
Phone (704) 892-7990

Other identifiers 2

IdentifierTypeStateIssuer
5905870MedicaidNC
5906019MedicaidNC

National Provider Directory

National Provider Directory

Locations

8732 University City Blvd
Charlotte, NC 28213
Phone (704) 541-1911

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1023144953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17208 CONNOR QUAY CT",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316503",
            "telephone_number": "704-892-7990",
            "fax_number": "704-987-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8732 UNIVERSITY CITY BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282133558",
            "telephone_number": "704-549-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE W. TAYLOR, D.D.S., P.A. II",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-549-1911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905870",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906019",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.