W K Monroe, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6244 Issued in NC

Legal business name

W K MONROE, DDS, PLLC

Practice address

3515 Randolph Rd
Charlotte, NC 28211-1032

Phone

(704) 366-3622

NPI assigned

Jan 31, 2017

Organization subpart

No

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

Authorized official

Name

Dr. W Kevin Monroe, DDS

Title

Manager

Phone

(704) 366-3622

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Randolph Dental Care Doing business as

Locations

Practitioners 2

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

• Vernon Larry Booth, D.D.S.

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1235205006

  General Practice

  NPD (past)
• Shradha Phade, DMD

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1568867661

  General Practice

  NPD (past)

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1154869980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 RANDOLPH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111032",
            "telephone_number": "704-366-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 RANDOLPH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111032",
            "telephone_number": "704-366-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W K MONROE, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "W KEVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-366-3622",
        "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": "6244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8996054",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randolph Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Huynh Vuong
• Theresa Vuskovich, DMD
• Qui Vuu, LCSWA
• Vyve Wellness Charlotte PLLC
• Vyve Wellness Wendover PLLC
• W. David Christenbery
• W.I.M. LLC
• W.T. Hinnant Artificial Limb Co
• Johnnie Hamby Waataja, PA-C
• Wab Home Health Care Agency

• All providers in Charlotte, NC
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.