Organization Active NPI

Deborah P. Kilgore, D.D.S.,P.L.L.C.

  • Dental Clinic/Center
  • New Bern, NC
National Provider Identifier
1174728133
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6255 Issued in NC
Legal business name
DEBORAH P. KILGORE, D.D.S.,P.L.L.C.
Practice address
1312 Commerce Dr
New Bern, NC 28562-2212
Phone
(252) 637-1919
Fax
(252) 637-3317
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Mrs. Deborah P Kilgore, DDSNPI 1700832904
Title
Owner
Phone
(252) 637-1919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6255 NC Primary

Addresses

Primary practice location

1312 Commerce Dr
New Bern, NC 28562-2212

Mailing address

1312 Commerce Dr
New Bern, NC 28562-2212
Phone (252) 637-1919

Other identifiers 1

IdentifierTypeStateIssuer
899491AMedicaidNC

National Provider Directory

National Provider Directory

Locations

1312 Commerce Dr
New Bern, NC 28562
Phone (252) 637-1919

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1174728133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 COMMERCE DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622212",
            "telephone_number": "252-637-1919",
            "fax_number": "252-637-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 COMMERCE DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622212",
            "telephone_number": "252-637-1919",
            "fax_number": "252-637-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH P. KILGORE, D.D.S.,P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-637-1919",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "6255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899491A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.