Kyle W Taylor, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5190 Issued in NC

Practice address

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

Phone

(704) 560-3582

NPI assigned

Oct 5, 2006

Last updated

May 31, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kyle Taylor, DDS II, PLLC

  dba Tranquil Bay Dental

  • Dental Clinic/Center
  • High Point, NC
  • NPI 1780199562
  NPD Authorized official
• Kyle Taylor, DDS III, PLLC

  dba Relax Dental

  • Dental Clinic/Center
  • Winston Salem, NC
  • NPI 1114491529
  NPD Authorized official
• Kyle Taylor DDS PLLC

  dba Distinctively Dental

  • Dentist
  • Winston Salem, NC
  • NPI 1912373242
  NPD (past) Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1982790846",
    "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": "SUITE 280",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043769",
            "telephone_number": "704-560-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KYLE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Rose Taylor, MD
• Henry Joe Taylor IV, DPM
• Irma M Taylor
• Jalyn Taylor
• Karen Griffin Taylor, NP
• Laurel Elizabeth Taylor, DDS
• Linda Taylor
• Malik Taylor
• Mary Katherine Taylor, DDS
• Maureen Taylor, CRNA

• General Practice Dentistry in Winston Salem, NC
• Providers in Winston Salem, 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 May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.