Kyle Hollis of Shelby, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KYLE HOLLIS OF SHELBY, PLLC

Doing business as

Family Dental Care of Shelby

Practice address

416 W Warren St
Shelby, NC 28150-5330

Phone

(704) 482-3281

NPI assigned

Aug 2, 2024

Last updated

Jan 6, 2025By 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

Mrs. Casey Castle

Title

Director of Payor Contracting

Phone

(912) 732-1504

Specialties & licenses 2

Addresses

Other names 2

• Family Dental Care of Shelby Doing business as
• James S Wilson DDS, PA Former legal business name

Locations

Practitioners 2

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.

• Charles Douglas Stroud, DDS

  • Dentist
  • Shelby, NC
  • NPI 1689871071
  NPD (past)
• James Sperling Wilson, DDS

  • General Practice Dentistry
  • Shelby, NC
  • NPI 1417133638
  NPD (past)

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1902636285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 W WARREN ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505330",
            "telephone_number": "704-482-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 W WARREN ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505330",
            "telephone_number": "704-482-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE HOLLIS OF SHELBY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "DIRECTOR OF PAYOR CONTRACTING",
        "authorized_official_telephone_number": "912-732-1504",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Care of Shelby",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "James S Wilson DDS, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "James S Wilson DDS, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Laura McCaskill Kline, M.D.
• Jill Hardin Knox, FNP
• Hollis Camille Konitzer, MD
• Ciara Christine Kranzler, CCC-SLP
• Betsy Sheets Krigbaum, OTR/L
• Laboratory Corporation of America Holdings
• Lynda Madeleine Lachance, MD
• Jessica Lee Harden Lackey, DDS
• Jeffrey H Lacourse, DO
• Marina Ellen Laliberte, RN

• Dental Clinic/Center in Shelby, NC
• Providers in Shelby, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.