Kathryn Jane Sudikoff, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9473 Issued in NC

Practice address

1315 East Blvd Ste 260
Charlotte, NC 28203-5789

Phone

(704) 632-9922

Fax

(866) 864-3970

NPI assigned

Jul 20, 2006

Last updated

Jan 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kathryn J Sudikoff DMD PLLC

  • Dental Clinic/Center
  • Charlotte, NC
  • NPI 1225804677
  NPD Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1265452478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 EAST BLVD STE 260",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035789",
            "telephone_number": "704-632-9922",
            "fax_number": "704-632-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 EAST BLVD STE 260",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035789",
            "telephone_number": "704-632-9922",
            "fax_number": "866-864-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDIKOFF",
        "first_name": "KATHRYN",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "3542",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Robert Sucherman, M.D.
• Suchitar Sharma D.D.S. PLLC (TRU Dental)
• Jennifer E. Suckow, PA-C
• Tracy Suddreth, ACCNS-AG
• Sudha M Edpuganti DDS PLLC (Pineville Dental Studio)
• Justin Craig Sudlow, DPT
• Donald J Sudy, MD
• Sue's Mobile Services
• Luisa Suess, MA, QMHP,QRP
• Sugar Creek Medical Center, PLLC

• 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 Jan 27, 2025; 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.