Active NPI
Makayla Myles, DDS
- General Practice Dentistry
- Carrollton, GA
National Provider Identifier
1346922390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN123596
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN123596 | GA | MD | General Practice Dentistry |
| 13421 | NC | MD | General 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.