Kevin B. Koebley, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4364 Issued in NC

Legal business name

KEVIN B. KOEBLEY, DDS, PA

Practice address

710 Wilkins St
Smithfield, NC 27577-4648

Phone

(919) 934-4664

Fax

(919) 934-5693

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Bruce Koebley, D.D.S.NPI 1083789721

Title

President

Phone

(919) 934-4664

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Bruce Koebley, D.D.S.

  • General Practice Dentistry
  • Smithfield, NC
  • NPI 1083789721
  NPD (past) Authorized official
• Lawson Batten, DMD

  • Dentist
  • Smithfield, NC
  • NPI 1881323681
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154533024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 WILKINS ST",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774648",
            "telephone_number": "919-934-4664",
            "fax_number": "919-934-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 WILKINS ST",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774648",
            "telephone_number": "919-934-4664",
            "fax_number": "919-934-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN B. KOEBLEY, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOEBLEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-934-4664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raghu R Katuru, MD
• Kaycee Leigh Keaton
• Steven Avery Kelham, PA-C
• Jane Kelley, MSW, LCSW
• Melisa Kemp
• Kristal Tamara Keys, MD
• Marian J Keyser, DO
• Sarah Khan, M.D.
• Kids Care Pediatrics PA
• Stacey Lewis Kifer, CCC-SLP

• General Practice Dentistry in Smithfield, NC
• Providers in Smithfield, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.