Individual provider Active NPI

Rene' Carson Kight, DMD

  • Dentist
  • Aiken, SC
National Provider Identifier
1184703480
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3118 Issued in SC
Practice address
1000 Clyburn PL
Aiken, SC 29801-4193
Phone
(803) 380-7000
Fax
(803) 643-5691
NPI assigned
Nov 6, 2006
Last updated
Aug 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3118 SC Primary

Addresses

Primary practice location

1000 Clyburn PL
Aiken, SC 29801-4193

Mailing address

1000 Clyburn PL
Aiken, SC 29801-4193
Phone (803) 380-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240409002626 SC Practitioner - Dentist 2466890553 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Services, Inc CurrentSince Feb 27, 2024 Accepting new patients
Rural Health Services, Inc. CurrentSince Feb 27, 2024 Accepting new patients

Locations

1000 Clyburn Pl
Aiken, SC 29801
Phone (803) 380-7000

Organizations & group practices 2

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1184703480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CLYBURN PL",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298014193",
            "telephone_number": "803-380-7000",
            "fax_number": "803-643-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CLYBURN PL",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298014193",
            "telephone_number": "803-380-7000",
            "fax_number": "803-643-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIGHT",
        "first_name": "RENE'",
        "middle_name": "CARSON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.