Individual provider Active NPI

Ariel N. Kunde, DMD

  • General Practice Dentistry
  • Lake Wylie, SC
National Provider Identifier
1528635604
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DGD.9918 Issued in SC
Practice address
244 Latitude LN Ste 103
Lake Wylie, SC 29710-8125
Phone
(803) 831-2171
NPI assigned
Jun 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DGD.9918 SC Primary

Addresses

Primary practice location

244 Latitude LN Ste 103
Lake Wylie, SC 29710-8125

Mailing address

11924 Antebellum Dr
Charlotte, NC 28273-3610
Phone (803) 984-7709

Other practice location 1

107 E Third Ave
Gastonia, NC 28052-4317
Phone (704) 864-0359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DGD.9918SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Modlin & Londry Xvi DDS LLC General Practice CurrentSince Nov 7, 2025 Accepting new patients
Ariel Kunde, DMD, PLLC CurrentSince Mar 31, 2024 Accepting new patients
Carolina Family Dentistry at Lake Wylie CurrentSince Sep 28, 2021 Accepting new patients

Locations

107 E 3rd Ave
Gastonia, NC 28052
Phone (704) 864-0359

244 Latitude Ln
Ste 103
Lake Wylie, SC 29710
Phone (803) 810-2211

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1528635604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11924 ANTEBELLUM DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733610",
            "telephone_number": "803-984-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 LATITUDE LN STE 103",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297108125",
            "telephone_number": "803-831-2171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 E Third Ave",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280524317",
            "country_code": "US",
            "telephone_number": "704-864-0359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNDE",
        "first_name": "ARIEL",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD.9918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wylie, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.