Kyle Taylor DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

5190 Issued in NC

Legal business name

KYLE TAYLOR DDS PLLC

Doing business as

Distinctively Dental

Practice address

4622 Country Club Rd
Ste. 280
Winston Salem, NC 27104-3769

Phone

(704) 560-3582

NPI assigned

Aug 20, 2015

Last updated

Jun 1, 2016By 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

Dr. Kyle W Taylor, D.D.S.NPI 1982790846

Title

Member-Manager

Phone

(704) 560-3582

Specialties & licenses 1

Addresses

Other names 1

• Distinctively Dental 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, and the practitioner matching its NPPES authorized official.

• Kyle W Taylor, D.D.S.

  • General Practice Dentistry
  • Winston Salem, NC
  • NPI 1982790846
  NPD (past) Authorized official

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1912373242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4622 COUNTRY CLUB RD",
            "address_2": "SUITE 280",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043769",
            "telephone_number": "704-560-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4622 COUNTRY CLUB RD",
            "address_2": "STE. 280",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043769",
            "telephone_number": "704-560-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE TAYLOR DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "704-560-3582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "5190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Distinctively Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carrie Kuyper
• Duaa Kuziez, MD
• Kween5464 Corporation (At Home Eldercare of Winston Salem)
• Evelyn Chang Kwok, M.D.
• Belinda Kyeiwah Kyere
• Kyle Taylor, DDS III, PLLC (Relax Dental)
• Victoria Jane Kyle, CCC-SLP
• Nichole Kyprianou, MD
• Ramonda Kyser, LPC
• L&K Transportation Services

• Dentist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.