Active NPI
Kyle Denton
- Dentist
- La Grange, NC
National Provider Identifier
1003406752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12121
- Practice address
- 515 S Caswell St
La Grange, NC 28551-2005 - Phone
- (252) 566-9616
- NPI assigned
- Jan 26, 2021
- Last updated
- Jan 26, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12121 | NC | Primary |
Addresses
Primary practice location
515 S Caswell St
La Grange, NC 28551-2005
Mailing address
PO Box 8
La Grange, NC 28551-0008
Phone (252) 566-9616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12121 | NC | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lane and Associates Xlvii DDS PA | Dentist | Current | Accepting new patients |
| Dr. Kent S. Denton | Single Specialty | Past | Accepting new patients |
Locations
515 S Caswell St
La Grange, NC 28551
Phone (252) 566-9616
Organizations & group practices 2
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.
-
- General Practice Dentistry
- La Grange, NC
- NPI 1083345664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1003406752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8",
"city": "LA GRANGE",
"state": "NC",
"postal_code": "285510008",
"telephone_number": "252-566-9616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 S CASWELL ST",
"city": "LA GRANGE",
"state": "NC",
"postal_code": "285512005",
"telephone_number": "252-566-9616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENTON",
"first_name": "KYLE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-26",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NC",
"license": "12121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Grange, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.