OrganizationActive
Katie Kickertz DDS Ms PLLC
NPI 1821788936 · Endodontics · Charlotte, NC
Katie Kickertz DDS Ms PLLC is a Endodontics organization in Charlotte, NC (NPI 1821788936).
Provider details
- NPI number
- 1821788936
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Katie Kickertz, Owner Dentist(815) 222-2102
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6842 Carnegie Blvd Ste 200
Charlotte, NC 28211-3500
Phone: (980) 423-1272
Fax: (980) 423-1273
Approximate (ZIP-level) locationGet directions
Mailing address
6842 Carnegie Blvd Ste 200
Charlotte, NC 28211-3500
Other names (DBA / former)
- Doing business as
- Premier Endodontics of Southpark
Registry dates
- Enumerated
- 2023-05-11
- Last updated
- 2023-05-11
- Certified
- 2023-05-11
Frequently asked questions
- What is Katie Kickertz DDS Ms PLLC's NPI number?
- Katie Kickertz DDS Ms PLLC's National Provider Identifier (NPI) is 1821788936, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Katie Kickertz DDS Ms PLLC?
- Katie Kickertz DDS Ms PLLC is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is Katie Kickertz DDS Ms PLLC located?
- Katie Kickertz DDS Ms PLLC's practice location on file with NPPES is 6842 Carnegie Blvd Ste 200, Charlotte, NC 28211-3500.
- What is Katie Kickertz DDS Ms PLLC's phone number?
- The practice phone number listed in the NPPES registry for Katie Kickertz DDS Ms PLLC is (980) 423-1272.
- Who is the authorized official for Katie Kickertz DDS Ms PLLC?
- The authorized official listed on Katie Kickertz DDS Ms PLLC's NPPES record is Katie Kickertz, Owner Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Katie Kickertz DDS Ms PLLC's NPI active?
- Yes — Katie Kickertz DDS Ms PLLC's NPI (1821788936) is active in the NPPES registry as of the last update on 2023-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.