Organization Active NPI

Kyle W. Taylor, D.D.S., P.a,

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1457521072
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5190 Issued in NC
Legal business name
KYLE W. TAYLOR, D.D.S., P.A,
Practice address
2315 W Arbors Dr
Suite 105
Charlotte, NC 28262-2577
Phone
(704) 548-1818
Fax
(704) 548-1126
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Dr. Kyle W Taylor, D.D.S.
Title
President
Phone
(704) 548-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5190 NC Primary

Addresses

Primary practice location

2315 W Arbors Dr
Suite 105
Charlotte, NC 28262-2577

Mailing address

2315 W Arbors Dr
Suite 105
Charlotte, NC 28262-2577
Phone (704) 548-1818

Other identifiers 2

IdentifierTypeStateIssuer
5905870MedicaidNC
5906019MedicaidNC

National Provider Directory

National Provider Directory

Locations

2315 W Arbors Dr
Ste 105
Charlotte, NC 28262
Phone (704) 548-1818

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1457521072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 W ARBORS DR",
            "address_2": "SUITE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622577",
            "telephone_number": "704-548-1818",
            "fax_number": "704-548-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 W ARBORS DR",
            "address_2": "SUITE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622577",
            "telephone_number": "704-548-1818",
            "fax_number": "704-548-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE W. TAYLOR, D.D.S., P.A,",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-548-1818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905870",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906019",
            "state": "NC"
        }
    ],
    "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 Mar 11, 2008; 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.