Active NPI
Kyle Lester Pabustan Viloria, D.D.S.
- Dentist
- Charlotte, NC
National Provider Identifier
1346600376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10442
- Practice address
- 9550 Rocky River Rd Ste 202
Charlotte, NC 28215-9526 - Phone
- (704) 496-9001
- NPI assigned
- Mar 3, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10442 | NC | Primary |
Addresses
Primary practice location
9550 Rocky River Rd Ste 202
Charlotte, NC 28215-9526
Mailing address
9550 Rocky River Rd Ste 202
Charlotte, NC 28215-9592
Phone (704) 496-9001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160819001378 | NC | Order and Referring Only - Dentist | 7719272434 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McNeely and Mallette DDS PA | Dentist | Current | Accepting new patients |
| Kyle Viloria DMD PLLC | Dentist | Current | Accepting new patients |
| Brian K. McNeely, DDS, PA | Dentist | Past | Accepting new patients |
Locations
9550 Rocky River Rd
Ste 202
Charlotte, NC 28215
Phone (704) 496-9001
5346 Docia Crossing Rd
Ste C
Charlotte, NC 28269
Phone (980) 275-5445
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Charlotte, NC
- NPI 1033987201
-
- Dentist
- Kannapolis, NC
- NPI 1760220370
-
- Dentist
- Charlotte, NC
- NPI 1598116436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1346600376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9550 ROCKY RIVER RD STE 202",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282159592",
"telephone_number": "704-496-9001",
"fax_number": "855-254-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9550 ROCKY RIVER RD STE 202",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282159526",
"telephone_number": "704-496-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILORIA",
"first_name": "KYLE LESTER",
"middle_name": "PABUSTAN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-03",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "10442",
"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 Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.