Kaitlin Shields Gotschalk, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12785 Issued in NC

Practice address

420 Park St Ste 101
Belmont, NC 28012-3393

Phone

(704) 755-4600

NPI assigned

Feb 8, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: kgotschalk2904807@carolinashealthcaresystem.direct-ci.com

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.

• Cooke and Mvula, PLLC

  • Pediatric Dentistry
  • Charlotte, NC
  • NPI 1760890495
  NPD (past)

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1447904537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 RAILROAD AVE UNIT 333",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413995",
            "telephone_number": "919-721-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 PARK ST STE 101",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123393",
            "telephone_number": "704-755-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTSCHALK",
        "first_name": "KAITLIN",
        "middle_name": "SHIELDS",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "12785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph L. Godfrey, M.D.
• Golden Lotus Lactation LLC
• Emma Tart Gomez, LICENSE OPTICIAN
• Tyler Anna Gordon, DMD
• Ashley Goss, D.D.S.
• Adriana Carolina Graehler
• Katina Burris Graham, PHARM.D.
• Carmen C. Grant, PT, DPT
• Victoria V Grantham, MSW, LCSW
• Gregory Chiropractic Center PA

• Pediatric Dentistry in Belmont, NC
• Providers in Belmont, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.