Active NPI
Laurie Kane, D.D.S.
- Pediatric Dentistry
- Charlotte, NC
National Provider Identifier
1710007984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- G1-0011477
- Practice address
- 10460 Park Rd Ste 101
Charlotte, NC 28210-8536 - Phone
- (704) 579-5440
- Fax
- (980) 785-9710
- NPI assigned
- Mar 30, 2007
- Last updated
- Apr 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 55197 | CA | |
| Pediatric Dentistry | 1223P0221X | 12274 | NC | |
| Pediatric Dentistry | 1223P0221X | G1-0011477 | DE | Primary |
Addresses
Primary practice location
10460 Park Rd Ste 101
Charlotte, NC 28210-8536
Mailing address
8444 Fairgreen Ave
Waxhaw, NC 28173-7071
Phone (323) 481-0674
Other practice location 1
51 Huntfield Dr Ste 100
Smyrna, DE 19977-2973
Phone (302) 508-0037
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G1-0011477 | DE | MD | Pediatric Dentist |
| 12274 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Tooth Doctors LLC | Pediatric Dentistry | Current | Accepting new patients |
Locations
51 Huntfield Dr
Ste 100
Smyrna, DE 19977
Phone (302) 508-0037
Organizations & group practices 1
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.
-
dba Smyrna Pediatric Dentistry
- Pediatric Dentistry
- Smyrna, DE
- NPI 1669107009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1710007984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8444 FAIRGREEN AVE",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281737071",
"telephone_number": "323-481-0674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10460 PARK RD STE 101",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108536",
"telephone_number": "704-579-5440",
"fax_number": "980-785-9710"
}
],
"practiceLocations": [
{
"address_1": "51 Huntfield Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "DE",
"postal_code": "199772973",
"country_code": "US",
"telephone_number": "302-508-0037",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANE",
"first_name": "LAURIE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "55197",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "12274",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "DE",
"license": "G1-0011477",
"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 Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.