CAROLINA DENTAL ARTS @ BLAKENEY
NPI 1205205762
Dentist - General Practice in Charlotte, NC

NPI Status: Active since September 15, 2015

Contact Information

9336 BLAKENEY CENTRE DR
SUITE 100-A
CHARLOTTE, NC
ZIP 28277
Phone: (919) 345-9511
Fax: (919) 400-4408

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  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance
  • CLIA Number: 34D2075104
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 03-23-2026

About CAROLINA DENTAL ARTS @ BLAKENEY

This page provides the complete NPI Profile along with additional information for Carolina Dental Arts @ Blakeney, a provider established in Charlotte, North Carolina operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1205205762 assigned on September 2015. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Carolina Dental Arts @ Blakeney. The authorized official of this NPI record is Kyle Roth (President)

NPI
1205205762
Provider Legal Name
KYLE J ROTH VIII DDS PA
Other Organization Name
CAROLINA DENTAL ARTS @ BLAKENEY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9336 BLAKENEY CENTRE DR SUITE 100-A CHARLOTTE, NC 28277
Location Phone
(919) 345-9511
Location Fax
(919) 400-4408
Mailing Address
5220 TALLOWTREE DR RALEIGH, NC 27613
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-15-2015
Last Update Date
09-15-2015
Code Navigator

A dentist like Carolina Dental Arts @ Blakeney is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Humana Dental Smart Choice - PPO
  • Humana Dental Smart Choice - Basic - PPO
  • Humana Dental Smart Choice - High - PPO
  • Humana Dental Smart Choice - Lite - PPO
  • Humana Dental Smart Choice - Low - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KYLE ROTH

Authorized Official Title
PRESIDENT
Authorized Official Phone
(919) 345-9511

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2075104
Facility Type
Independent
Certificate Effective Date
March 24, 2024
Certificate Expiration Date
March 23, 2026
Laboratory Director
MS. REBECCA KUHNS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Carolina Dental Arts @ Blakeney to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205205762, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 4 + 0 + 1 + 0 + 7 + 1 + 2 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1205205762.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Surgery
9336 BLAKENEY CENTRE DR, STE 100B
CHARLOTTE, NC 28277
Dentist
9336 BLAKENEY CENTRE DR
CHARLOTTE, NC 28277

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205205762, enumerated as an "organization" on September 15, 2015.

The provider is located at 9336 BLAKENEY CENTRE DR SUITE 100-A CHARLOTTE, NC 28277 and the phone number is (919) 345-9511.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Humana. Please consult your insurance carrier or call the provider to verify.