Kimberly Carlyle-Clark, DDS, Ms, PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN16534 Issued in FL

Legal business name

KIMBERLY CARLYLE-CLARK, DDS, MS, PA

Practice address

8255 Lee Vista Blvd
Suite #D
Orlando, FL 32829-8018

Phone

(407) 447-9060

NPI assigned

Jul 3, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Carlyle-Clark, DDS

Title

Orthodontist

Phone

(407) 447-9060

Specialties & licenses 1

Addresses

Other names 1

• Carlyle Orthodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Rochelle Carlyle, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Orlando, FL
  • NPI 1831178540
  NPD (past)

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1740620848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8255 LEE VISTA BLVD",
            "address_2": "SUITE #D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298018",
            "telephone_number": "407-447-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8255 LEE VISTA BLVD",
            "address_2": "SUITE #D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298018",
            "telephone_number": "407-447-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY CARLYLE-CLARK, DDS, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "CARLYLE-CLARK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "407-447-9060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN16534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlyle Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Kim
• Peter Kim
• Soyeon Kim
• Wang Hee Kim
• Yong Han Kim, M.D.
• Kimberly Renk PLLC
• Allen Y Kimble III, PTA
• Altermease S. Kimble
• Cheryl Ann Kimble
• Tamarin Kimble

• Orthodontics and Dentofacial Orthopedics Dentistry in Orlando, FL
• Providers in Orlando, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.