Individual provider Active NPI

Kenton Lane Dover, MD

  • Pulmonary Disease Physician
  • New Haven, CT
National Provider Identifier
1063857902
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2017-00171 Issued in NC
Practice address
20 York St
New Haven, CT 06510-3220
Phone
(203) 688-4242
NPI assigned
May 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2017-00171 NC
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 64852 CT
Pulmonary Disease Physician 207RP1001X 64852 CT
Pulmonary Disease Physician 207RP1001X 2017-00171 NC Primary

Addresses

Primary practice location

20 York St
New Haven, CT 06510-3220

Mailing address

P.O. Box 208057 300 Cedar Street Tac - 441 South
Pulmonary and Critical Care Section
New Haven, CT 06520-8057
Phone (203) 785-4162

Other practice location 1

430 Waterstone Dr
Hillsborough, NC 27278-9078
Phone (984) 215-2000

Other practice location 2

300 Meadowmont Circle
Suite 203
Chapel Hill, NC 27517
Phone (984) 974-5703

Other practice location 3

101 Manning Dr
Chapel Hill, NC 27514-4226
Phone (974) 874-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kdover16096@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180510002333 NC Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Hospitalist 7315165016 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Hospitalist
Education
University of North Carolina at Chapel Hill School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of North Carolina at Chapel HillGroup PAC ID 0648181156, 2,028 clinicians
FHPG LLCGroup PAC ID 9537481569, 195 clinicians

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 715-2164

925 S Long Dr
Rockingham, NC 28379-4835
Phone (910) 417-3000

Hospital & facility affiliations

  • Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061
  • Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill Internal Medicine CurrentSince May 7, 2019 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Oct 15, 2018 Accepting new patients
FHPG, LLC CurrentSince Nov 1, 2022 Accepting new patients
FHPG, LLC Current Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients
University of North Carolina at Chapel Hill Current Accepting new patients
University of North Carolina at Chapel Hill CurrentSince May 7, 2019 Accepting new patients
FHPG, LLC CurrentSince Nov 1, 2022 Accepting new patients
Moses Cone Medical Services, Inc. Internal Medicine CurrentSince Oct 15, 2018 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Past Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

100 Eastowne Dr
Fl 14
Chapel Hill, NC 27514
Phone (984) 215-5556

300 Meadowmont Village Cir
Ste 203
Chapel Hill, NC 27517
Phone (984) 974-1190

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

520 N Elam Ave
Greensboro, NC 27403
Phone (336) 475-7148

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

430 Waterstone Dr
Hillsborough, NC 27278
Phone (984) 215-2000

46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

6408 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-6000

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

925 S Long Dr
Rockingham, NC 28379
Phone (910) 417-3000

520 Allen St
Troy, NC 27371
Phone (910) 571-5000

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

Interoperability endpoints

  • Direct secure messaging: kdover467207@direct.ynhh.org
  • Direct secure messaging: kdover16096@direct.unc.nchie.net
  • Direct secure messaging: kdover110096@firsthealth.direct-ci.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1063857902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 208057 300 CEDAR STREET TAC - 441 SOUTH",
            "address_2": "PULMONARY AND CRITICAL CARE SECTION",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208057",
            "telephone_number": "203-785-4162",
            "fax_number": "203-785-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 Waterstone Dr",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NC",
            "postal_code": "272789078",
            "country_code": "US",
            "telephone_number": "984-215-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Meadowmont Circle",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "27517",
            "country_code": "US",
            "telephone_number": "984-974-5703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Manning Dr",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275144226",
            "country_code": "US",
            "telephone_number": "974-874-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOVER",
        "first_name": "KENTON",
        "middle_name": "LANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-06",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2017-00171",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CT",
            "license": "64852",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "64852",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2017-00171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdover16096@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "101 Manning Dr",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275144226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.