Kimberly Rochelle Carlyle, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN16534 Issued in FL

Practice address

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

Phone

(407) 447-9060

NPI assigned

Jan 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Kimberly Carlyle-Clark, DDS, Ms, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Orlando, FL
  • NPI 1740620848
  NPD (past)

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1831178540",
    "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"
        },
        {
            "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": {
        "last_name": "CARLYLE",
        "first_name": "KIMBERLY",
        "middle_name": "ROCHELLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN16534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075745400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Carlson, ANP
• Samatha Carlson
• Sara Jane Carlson
• Janice Sistrunk Carlton, D.D.S.
• Carlyjayellc
• Kathryn Lee Carmalt, COTA
• Cerenity Carmichael, LMHC
• Kristina Angela Carmichael, ARNP
• Carmita'S Assisted Living Facility II LLC
• Carmita'S Assisting Living Facility III LLC

• 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.