Organization Active NPI

Kyle Taylor, DDS III, PLLC

  • Dental Clinic/Center
  • Winston Salem, NC
National Provider Identifier
1114491529
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KYLE TAYLOR, DDS III, PLLC
Practice address
3015 Maplewood Ave Ste 100
Winston Salem, NC 27103-4075
Phone
(704) 560-3582
NPI assigned
Jan 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Authorized official

Name
Dr. Kyle W Taylor, DDSNPI 1982790846
Title
Organizer Member
Phone
(704) 560-3582

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3015 Maplewood Ave Ste 100
Winston Salem, NC 27103-4075

Mailing address

16621 Jetton Rd
Cornelius, NC 28031-7441
Phone (704) 560-3582

Other names 1

  • Relax Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3015 Maplewood Ave
Ste 100
Winston Salem, NC 27103
Phone (704) 560-3582

Practitioners & affiliated clinicians

Practitioners 1

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": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1114491529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16621 JETTON RD",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280317441",
            "telephone_number": "704-560-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 MAPLEWOOD AVE STE 100",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034075",
            "telephone_number": "704-560-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE TAYLOR, DDS III, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ORGANIZER MEMBER",
        "authorized_official_telephone_number": "704-560-3582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Relax Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.