Organization Active NPI

Ken J Tompkins MD PC

  • Dermatology Physician
  • Kitty Hawk, NC
National Provider Identifier
1063665255
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
KEN J TOMPKINS MD PC
Practice address
5589 N Croatan Hwy
Kitty Hawk, NC 27949-3996
Phone
(252) 715-0610
Fax
(252) 715-0612
NPI assigned
Oct 31, 2008
Last updated
Oct 31, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
KEN J TOMPKINS MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ken J Tompkins, MD
Title
Owner
Phone
(757) 825-1440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

5589 N Croatan Hwy
Kitty Hawk, NC 27949-3996

Mailing address

5589 N Croatan Hwy
Kitty Hawk, NC 27949-3996
Phone (252) 715-0610

Other identifiers 2

IdentifierTypeStateIssuer
013XMOtherNCCLAIMS PROCESSING CONTRACTOR
89013XMMedicaidNC

National Provider Directory

National Provider Directory
Part of
Kenneth J Tompkins MD

Locations

2206 Executive Dr
Ste F
Hampton, VA 23666
Phone (757) 825-1440

904 Kempsville Rd
Ste 106
Virginia Beach, VA 23464
Phone (804) 467-3900

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1063665255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5589 N CROATAN HWY",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493996",
            "telephone_number": "252-715-0610",
            "fax_number": "252-715-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5589 N CROATAN HWY",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493996",
            "telephone_number": "252-715-0610",
            "fax_number": "252-715-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN J TOMPKINS MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEN J TOMPKINS MD PC",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "TOMPKINS",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-825-1440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLAIMS PROCESSING CONTRACTOR",
            "identifier": "013XM",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013XM",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kitty Hawk, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.