Active NPI
Ken J Tompkins MD PC
- Dermatology Physician
- Kitty Hawk, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- 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, 2008
- Organization subpart
- Yes
- Parent organization
- KEN J TOMPKINS MD PC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013XM | Other | NC | CLAIMS PROCESSING CONTRACTOR |
| 89013XM | Medicaid | NC |
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.
-
- Dermatology Physician
- Kitty Hawk, NC
- NPI 1710062815
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.
-
- Dermatology Physician
- Virginia Beach, VA
- NPI 1164533386
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.