Kyle J Roth VIII DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KYLE J ROTH VIII DDS PA

Doing business as

Carolina Dental Arts @ Blakeney

Practice address

9336 Blakeney Centre Dr
Suite 100-a
Charlotte, NC 28277-6666

Phone

(919) 345-9511

Fax

(919) 400-4408

NPI assigned

Sep 15, 2015

Last updated

Sep 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kyle Roth

Title

President

Phone

(919) 345-9511

Specialties & licenses 1

Addresses

Other names 1

• CAROLINA DENTAL ARTS @ BLAKENEY Doing business as

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1205205762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 TALLOWTREE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276134548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9336 BLAKENEY CENTRE DR",
            "address_2": "SUITE 100-A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776666",
            "telephone_number": "919-345-9511",
            "fax_number": "919-400-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE J ROTH VIII DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-345-9511"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAROLINA DENTAL ARTS @ BLAKENEY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Hyuk Kwon, DDS
• Lanna Sook Kwon, MD
• Matt Hyoung Jin Kwon, M.D.
• Stephanie Pettus Kwon, MD
• Sayyad Faik Kyazimzade, MD
• Kyle Viloria DMD PLLC (V Dental Health & Aesthetics)
• Kyle W. Taylor, D.D.S., P.a,
• Kyle W. Taylor, D.D.S., P.a. II
• Kimberly Kyle-Trejos, RD
• Gloria Kyomuhendo, MD

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.