Organization Active NPI

Tyler Klein DDS PLLC

  • Dental Clinic/Center
  • Charlotte, NC
National Provider Identifier
1255937918
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TYLER KLEIN DDS PLLC
Doing business as
ReNew Dental Arts
Practice address
4724 Sharon Rd Ste L
Charlotte, NC 28210-3337
Phone
(608) 769-3736
NPI assigned
Dec 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Dr. Tyler Klein, DDSNPI 1588911853
Title
Owner/Dentist
Phone
(608) 769-3736

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

4724 Sharon Rd Ste L
Charlotte, NC 28210-3337

Mailing address

5907 Carrollton LN
Charlotte, NC 28210-3020
Phone (608) 769-3736

Other names 1

  • ReNew Dental Arts Doing business as

National Provider Directory

National Provider Directory

Locations

4724 Sharon Rd
Ste L
Charlotte, NC 28210
Phone (608) 769-3736

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": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1255937918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5907 CARROLLTON LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103020",
            "telephone_number": "608-769-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 SHARON RD STE L",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103337",
            "telephone_number": "608-769-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER KLEIN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "608-769-3736",
        "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": "ReNew Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 8, 2020; 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.