NPIMap

Organization Active NPI

Charlotte Emergency Dental Clinic

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1538494356
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHARLOTTE EMERGENCY DENTAL CLINIC
Practice address
4010 Park Rd
Charlotte, NC 28209-2272
Phone
(704) 525-3939
Fax
(704) 525-3969
NPI assigned
Oct 13, 2009
Last updated
Oct 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Authorized official

Name
Dr. Keith Kye, DDS
Title
President
Phone
(704) 525-3939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NC Primary

Addresses

Primary practice location

4010 Park Rd
Charlotte, NC 28209-2272

Mailing address

4010 Park Rd
Charlotte, NC 28209-2272
Phone (704) 525-3939

National Provider Directory

National Provider Directory

Locations

4010 Park Rd
Charlotte, NC 28209
Phone (704) 525-3939

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1538494356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092272",
            "telephone_number": "704-525-3939",
            "fax_number": "704-525-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092272",
            "telephone_number": "704-525-3939",
            "fax_number": "704-525-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE EMERGENCY DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "KYE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-525-3939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 13, 2009; 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.