Active NPI
Todd Candler Kincer, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Lenoir, NC
National Provider Identifier
1154470920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 8154
- Practice address
- 310 Mulberry St SW
Lenoir, NC 28645-5721 - Phone
- (828) 754-7881
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 8154 | NC | Primary |
Addresses
Primary practice location
310 Mulberry St SW
Lenoir, NC 28645-5721
Mailing address
115 Island Ridge Dr
Statesville, NC 28677-2097
Phone (704) 528-8340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5905741 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8154 | NC | MD | Mental Health Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manisha Desai Patel DDS | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Lenoir, NC
- NPI 1861689507
Oral and Maxillofacial Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353456000000",
"number": "1154470920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 ISLAND RIDGE DR",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286772097",
"telephone_number": "704-528-8340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 MULBERRY ST SW",
"city": "LENOIR",
"state": "NC",
"postal_code": "286455721",
"telephone_number": "828-754-7881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINCER",
"first_name": "TODD",
"middle_name": "CANDLER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2012-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NC",
"license": "8154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5905741",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lenoir, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.