Individual provider Active NPI

Kathryn Davis McTigue, DDS

  • General Practice Dentistry
  • Chapel Hill, NC
National Provider Identifier
1194217638
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11007 Issued in NC
Practice address
385 S Columbia St
Chapel Hill, NC 27514-4309
Phone
(919) 445-0323
Fax
(919) 537-3990
NPI assigned
May 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11007 NC Primary

Addresses

Primary practice location

385 S Columbia St
Chapel Hill, NC 27514-4309

Mailing address

385 S Columbia St RM 432
Chapel Hill, NC 27514-4309
Phone (919) 445-0323

Other names 1

  • Kathryn Elaine Davis Former name

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
I20210317000593 NC Practitioner - Dentist 0143636183 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Health Services, Inc. CurrentSince Mar 5, 2021 Accepting new patients
Piedmont Health Services, Inc. CurrentSince Mar 5, 2021 Accepting new patients

Locations

301 Lloyd St
Carrboro, NC 27510
Phone (919) 933-9087

7228 Moncure Pittsboro Rd
Moncure, NC 27559
Phone (919) 542-1641

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1194217638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 S COLUMBIA ST RM 432",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144309",
            "telephone_number": "919-445-0323",
            "fax_number": "919-537-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 S COLUMBIA ST",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275144309",
            "telephone_number": "919-445-0323",
            "fax_number": "919-537-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCTIGUE",
        "first_name": "KATHRYN",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "DAVIS",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.