Active NPI
Kyle J Roth II, DDS, PA
- General Practice Dentistry
- Raleigh, NC
National Provider Identifier
1518269356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- KYLE J ROTH II, DDS, PA
- Practice address
- 6301 Falls of Neuse Rd
Suite 103
Raleigh, NC 27615-6865 - Phone
- (919) 345-9511
- NPI assigned
- Nov 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christy Baldwin
- Title
- Business Manager
- Phone
- (919) 345-9511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
6301 Falls of Neuse Rd
Suite 103
Raleigh, NC 27615-6865
Mailing address
6301 Falls of Neuse Rd
Suite 103
Raleigh, NC 27615-6865
Phone (919) 345-9511
Other names 1
- Carolina Dental arts @ spring forest
National Provider Directory
National Provider DirectoryLocations
6301 Falls of Neuse Rd
Ste 103
Raleigh, NC 27615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291075200000",
"number": "1518269356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 FALLS OF NEUSE RD",
"address_2": "SUITE 103",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276156865",
"telephone_number": "919-345-9511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 FALLS OF NEUSE RD",
"address_2": "SUITE 103",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276156865",
"telephone_number": "919-345-9511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KYLE J ROTH II, DDS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-30",
"last_updated": "2010-11-30",
"status": "A",
"authorized_official_last_name": "BALDWIN",
"authorized_official_first_name": "CHRISTY",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "919-345-9511"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Carolina Dental arts @ spring forest",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.