SDC KL LLC
NPI 1790370997
Clinic/Center - Dental in Taylorsville, NC

Active since March 09, 2021
284 TADPOLE LN, TAYLORSVILLE, NC 28681(704) 968-6791 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sdc Kl Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SDC KL LLC (NPI 1790370997) is a healthcare organization registered as a dental in Taylorsville, North Carolina and active in the NPI registry since March 2021. The organization lists Katina R Cloud, Manager, as its authorized official.

NPPES Registry Identity

NPI1790370997
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSDC KL LLC
Location Address284 TADPOLE LNTaylorsville, NC 28681-8050
Mailing Address284 Tadpole LnTaylorsville, NC 28681-8050
Organization SubpartNo
Authorized OfficialKatina R CloudManager · (704) 968-6791
Enumeration DateMarch 9, 2021
NPPES CertifiedMarch 9, 2021
✔ NPI 1790370997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
284 TADPOLE LN, Taylorsville, NC 28681

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sdc Kl Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sdc Kl LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dentist
NPI 1457672420
6116 ROLLING RD SUITE 316
Springfield, VA 22152
(703) 451-8332
✔ PECOS301 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sdc Kl LLC's NPI number?

The NPI number for Sdc Kl LLC is 1790370997. It was assigned to this organization in the NPPES registry on March 9, 2021.

Where is Sdc Kl LLC located?

Sdc Kl LLC is located at 284 Tadpole Ln, Taylorsville, NC 28681. The listed phone number is (704) 968-6791.

What is Sdc Kl LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Is Sdc Kl LLC enrolled in Medicare?

Yes. Sdc Kl LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sdc Kl LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Sdc Kl LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sdc Kl LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Sdc Kl LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sdc Kl LLC was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.