Individual provider Active NPI

Makayla Myles, DDS

  • General Practice Dentistry
  • Carrollton, GA
National Provider Identifier
1346922390
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN123596 Issued in GA
Practice address
1382 S Park St
Carrollton, GA 30117-4411
Phone
(678) 664-3260
NPI assigned
Aug 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN123596 GA Primary
General Practice Dentistry 1223G0001X 13421 NC

Addresses

Primary practice location

1382 S Park St
Carrollton, GA 30117-4411

Mailing address

212 Blue Sky Dr NW
Concord, NC 28027-7341
Phone (504) 920-9192

Other practice location 1

9880 Rocky River Rd
Ste A
Harrisburg, NC 28075
Phone (704) 954-8548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN123596GAMDGeneral Practice Dentistry
13421NCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1346922390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 BLUE SKY DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277341",
            "telephone_number": "504-920-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 S PARK ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174411",
            "telephone_number": "678-664-3260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9880 Rocky River Rd",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "NC",
            "postal_code": "28075",
            "country_code": "US",
            "telephone_number": "704-954-8548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYLES",
        "first_name": "MAKAYLA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123596",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.