Organization Active NPI

Kisha Steele Mitchell DDS PC

  • Pediatric Dentistry
  • Huntersville, NC
National Provider Identifier
1023556230
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DEN1000645 Issued in DC
Legal business name
KISHA STEELE MITCHELL DDS PC
Practice address
10115 Hickorywood Hill Ave
Huntersville, NC 28078-3422
Phone
(704) 948-8494
Fax
(704) 948-8482
NPI assigned
Feb 8, 2017
Last updated
Feb 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Authorized official

Name
Kisha Steele Mitchell
Title
Dentist
Phone
(704) 948-8494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DEN1000645 DC Primary

Addresses

Primary practice location

10115 Hickorywood Hill Ave
Huntersville, NC 28078-3422

Mailing address

10115 Hickorywood Hill Ave
Huntersville, NC 28078-3422
Phone (704) 948-8494

National Provider Directory

National Provider Directory

Locations

10115 Hickorywood Hill Ave
Huntersville, NC 28078
Phone (704) 947-2122

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1023556230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 HICKORYWOOD HILL AVE",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783422",
            "telephone_number": "704-948-8494",
            "fax_number": "704-948-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 HICKORYWOOD HILL AVE",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783422",
            "telephone_number": "704-948-8494",
            "fax_number": "704-948-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISHA STEELE MITCHELL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "KISHA",
        "authorized_official_middle_name": "STEELE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "704-948-8494"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DC",
            "license": "DEN1000645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.