Organization Active NPI

Kyle J Roth II, DDS, PA

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1518269356
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Nov 30, 2010

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.