Tyler Klein, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11210 Issued in NC

Practice address

4724 Sharon Rd Ste L
Charlotte, NC 28210-3337

Phone

(608) 769-3736

NPI assigned

Aug 6, 2012

Last updated

Dec 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tyler Klein DDS PLLC

  dba ReNew Dental Arts

  • Dental Clinic/Center
  • Charlotte, NC
  • NPI 1255937918
  NPD Authorized official
• Khakwani Medical Corporation, PC

  dba PDS Medical Group Durango

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1396190716
  NPD (past)
• Shahrestani Canyon Pointe Dental Group PC

  dba Canyon Pointe Dental Group

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1750571535
  NPD (past)

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1588911853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5907 CARROLLTON LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103020",
            "telephone_number": "608-769-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 SHARON RD STE L",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103337",
            "telephone_number": "608-769-3736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5907 Carrollton Ln",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282103020",
            "country_code": "US",
            "telephone_number": "608-769-3736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-06",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11210",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A Klein, M.D.
• Leslie McQuay Klein, N.P.
• Molly Klein
• Sabina Klein, LCMHC
• Theodore Winston Klein, LCSW
• Jeffrey Scott Kleinheinz, DDS
• Richard Kleinmann, MD
• Serafim J Kleitches, D.D.S., P.A.
• Elise Marie Klesick, DO
• Amy Klett

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.