Kyle Roth and Associates VI, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KYLE ROTH AND ASSOCIATES VI, DDS, PA

Doing business as

Goldsboro Dental Arts

Practice address

1310 Wayne Memorial Dr Ste C
Goldsboro, NC 27534-2269

Phone

(919) 581-0909

Fax

(919) 581-0730

NPI assigned

Sep 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Megan Pridgen

Title

Business Manager

Phone

(919) 696-6394

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Goldsboro Dental Arts Doing business as

Tax ID family

Benson Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Roth & Mann II, DDS, PA

  dba Benson Family Dentistry

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1427146000
  NPD tax ID

Practitioners 1

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.

• Shaun Travis White, DMD

  • General Practice Dentistry
  • Goldsboro, NC
  • NPI 1669603718
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740371616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 WAYNE MEMORIAL DR STE C",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342269",
            "telephone_number": "919-581-0909",
            "fax_number": "919-581-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 WAYNE MEMORIAL DR STE C",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342269",
            "telephone_number": "919-581-0909",
            "fax_number": "919-581-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE ROTH AND ASSOCIATES VI, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRIDGEN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "919-696-6394"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900146",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goldsboro Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Stephen Krobock, DMD
• Richard D Kruer Jr., DMD
• Amy Krutsch, FNP
• John Paul Kumhyr, PA
• Kyle J Roth III DDS PA (carolina Denta Arts of Goldsboro)
• Laboratory Corporation of America Holdings
• Jaclyn Elizabeth Ladner, PA-C
• Mark Steven Lafave, M.D.
• Scott O Lafevers, DDS MBA
• Lakeview

• General Practice Dentistry in Goldsboro, NC
• Providers in Goldsboro, 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 Aug 22, 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.