Organization Active NPI

Kenneth C Miles DDS PLLC

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1386765683
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KENNETH C MILES DDS PLLC
Practice address
8631 Arbor Creek Dr
Suite D1
Charlotte, NC 28269-0534
Phone
(704) 875-2222
Fax
(704) 827-6881
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Dr. Kenneth C Miles, DDS
Title
Manager
Phone
(704) 875-2222

Specialties & licenses 1

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

Addresses

Primary practice location

8631 Arbor Creek Dr
Suite D1
Charlotte, NC 28269-0534

Mailing address

8631 Arbor Creek Dr
Suite D1
Charlotte, NC 28269-0534
Phone (704) 875-2222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1386765683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 ARBOR CREEK DR",
            "address_2": "SUITE D1",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690534",
            "telephone_number": "704-875-2222",
            "fax_number": "704-827-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 ARBOR CREEK DR",
            "address_2": "SUITE D1",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690534",
            "telephone_number": "704-875-2222",
            "fax_number": "704-827-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH C MILES DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-875-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Dec 3, 2007; 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.