Active NPI
Kenton Lane Dover, MD
- Pulmonary Disease Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 2017-00171
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- 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
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
- Firsthealth Moore Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Carolina at Chapel Hill | Internal Medicine | Current | Accepting new patients |
| Wakemed Specialists Group LLC | Current | Accepting new patients | |
| Wakemed Specialists Group LLC | Current | Accepting new patients | |
| Moses Cone Medical Services, Inc. | Current | Accepting new patients | |
| FHPG, LLC | Current | 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 | Current | Accepting new patients | |
| FHPG, LLC | Current | Accepting new patients | |
| Moses Cone Medical Services, Inc. | Internal Medicine | Current | 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
- kdover467207@direct.ynhh.org
- kdover16096@direct.unc.nchie.net
- 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.
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
Internal Medicine
-
- Family Medicine Physician
- Lillington, NC
- NPI 1760329486
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1427095249
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1588227839
-
- Family Medicine Physician
- Ellerbe, NC
- NPI 1336154129
-
- Specialist
- Pinehurst, NC
- NPI 1770512865
-
- Family Medicine Physician
- Sanford, NC
- NPI 1942196035
-
- Family Medicine Physician
- Madison, NC
- NPI 1629376363
-
- Clinic/Center
- Chapel Hill, NC
- NPI 1285689299
-
- Family Medicine Physician
- Raleigh, NC
- NPI 1972912285
-
- Cardiac Rehabilitation Registered Nurse
- Raleigh, NC
- NPI 1063304228
-
- Rheumatology Physician
- Raleigh, NC
- NPI 1073178398
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
-
- General Acute Care Hospital
- Chapel Hill, NC
- NPI 1932208576
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.