Organization Active NPI

J. Christopher Kibler, D.D.S., P.a.

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1306979349
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5775 Issued in NC
Legal business name
J. CHRISTOPHER KIBLER, D.D.S., P.A.
Practice address
135 S Sharon Amity Rd
Suite 200
Charlotte, NC 28211-2842
Phone
(704) 364-5575
Fax
(704) 364-7377
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. J Christopher Kibler, D.D.S.
Title
President
Phone
(704) 364-5575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5775 NC Primary

Addresses

Primary practice location

135 S Sharon Amity Rd
Suite 200
Charlotte, NC 28211-2842

Mailing address

135 S Sharon Amity Rd
Suite 200
Charlotte, NC 28211-2842
Phone (704) 364-5575

National Provider Directory

National Provider Directory

Locations

135 S Sharon Amity Rd
Ste 200
Charlotte, NC 28211
Phone (704) 364-5575

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306979349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S SHARON AMITY RD",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112842",
            "telephone_number": "704-364-5575",
            "fax_number": "704-364-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S SHARON AMITY RD",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112842",
            "telephone_number": "704-364-5575",
            "fax_number": "704-364-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. CHRISTOPHER KIBLER, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIBLER",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-364-5575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 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.