Marcie Kanosky, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12148 Issued in NC

Practice address

3745 Henderson Dr
Jacksonville, NC 28546-5237

Phone

(910) 938-4333

NPI assigned

Jun 16, 2020

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John M Romulus IV

  • Dental Clinic/Center
  • Jacksonville, NC
  • NPI 1447013883
  NPD

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1023633930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 HENDERSON DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465237",
            "telephone_number": "910-938-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 HENDERSON DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465237",
            "telephone_number": "910-938-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANOSKY",
        "first_name": "MARCIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "12148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Lynne Kalk, LMFTA
• Deborah Ann Kalnen, M.A., L. P. A.
• Karen Kaminski Esala, LCSW
• Terra Lynn Kamp, NP-C
• Elizabeth Kampa, LCSWA
• Cameron Mackenzie Kapec, PHYSICAL THERAPIST
• Karen J Armstrong DMD & Bethany K Tant DDS PLLC
• Samantha Lynn Karle, FNP-BC
• Melissa Katsanos, RN
• Santosh Katuwal

• Dentist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.