Individual provider Active NPI

Genes Kaur

  • Dentist
  • Winston Salem, NC
National Provider Identifier
1154990471
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12294 Issued in NC
Practice address
336 E Hanes Mill Rd
Winston Salem, NC 27105-9135
Phone
(336) 450-2077
NPI assigned
Jun 21, 2021
Last updated
Aug 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12294 NC Primary

Addresses

Primary practice location

336 E Hanes Mill Rd
Winston Salem, NC 27105-9135

Mailing address

336 E Hanes Mill Rd
Winston Salem, NC 27105-9135
Phone (919) 648-7931

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231101002921 NC Practitioner - Dentist 7517313117 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12294NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alles & Associates North Carolina Dentist CurrentSince Jan 26, 2022 Accepting new patients
Erin Rake, DDS, P.C. Dentist CurrentSince Oct 1, 2023 Accepting new patients
Alterman & Dhillon Piedmont, PPLC Dentist PastSince Aug 15, 2021 Accepting new patients
Carlos Rodriguez DMD PLLC PastSince Jun 1, 2021 Accepting new patients

Locations

8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (913) 362-1112

201 McCullough Dr
Ste 180
Charlotte, NC 28262
Phone (704) 228-8495

336 E Hanes Mill Rd
Winston Salem, NC 27105
Phone (336) 450-2077

Interoperability endpoints

  • Direct secure messaging: genes.kaurdmd.p1@direct.personfamily.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1154990471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 E HANES MILL RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271059135",
            "telephone_number": "919-648-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 E HANES MILL RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271059135",
            "telephone_number": "336-450-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "GENES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "12294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.