NPIMap

Organization Active NPI

Kenneth M. Sadler DDS & Associates, PA

Doing business as Winston Salem Dental Care

  • General Practice Dentistry
  • Winston Salem, NC
National Provider Identifier
1144309410
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4151 Issued in NC
Legal business name
KENNETH M. SADLER DDS & ASSOCIATES, PA
Doing business as
Winston Salem Dental Care
Practice address
201 Charlois Blvd.
Winston Salem, NC 27103
Phone
(336) 331-3500
Fax
(336) 331-3504
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Authorized official

Name
Dr. Kenneth M Sadler, DDS
Title
President
Phone
(336) 331-3506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 4151 NC Primary

Addresses

Primary practice location

201 Charlois Blvd.
Winston Salem, NC 27103

Mailing address

201 Charlois Blvd.
Winston Salem, NC 27103
Phone (336) 331-3500

Other names 1

  • Winston Salem Dental Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1144309410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CHARLOIS BLVD.",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-331-3500",
            "fax_number": "336-331-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CHARLOIS BLVD.",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-331-3500",
            "fax_number": "336-331-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH M. SADLER DDS & ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "SADLER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-331-3506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winston Salem Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.