Organization Active NPI

R. Kevin Aiken D.D.S., P.a.

  • General Practice Dentistry
  • Rockingham, NC
National Provider Identifier
1194005454
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NC6619 Issued in NC
Legal business name
R. KEVIN AIKEN D.D.S., P.A.
Practice address
715 Long Drive
Rockingham, NC 28379-4315
Phone
(910) 895-5210
Fax
(910) 895-4602
NPI assigned
Aug 18, 2011
Last updated
Aug 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Dr. Robert Kevin Aiken, D.D.S., P.A.
Title
Dentist/ Owner
Phone
(910) 895-5210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NC6619 NC Primary

Addresses

Primary practice location

715 Long Drive
Rockingham, NC 28379-4315

Mailing address

715 Long Drive
Rockingham, NC 28379-4315
Phone (910) 895-5210

Other identifiers 1

IdentifierTypeStateIssuer
8902450MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
R Kevin Aiken DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1194005454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 LONG DRIVE",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794315",
            "telephone_number": "910-895-5210",
            "fax_number": "910-895-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 LONG DRIVE",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794315",
            "telephone_number": "910-895-5210",
            "fax_number": "910-895-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. KEVIN AIKEN D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "AIKEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "910-895-5210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., P.A."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC6619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902450",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.