Active NPI
Kimberley Canton-Kane, D.D.S
- General Practice Dentistry
- Concord, NC
National Provider Identifier
1205960309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7059
- Practice address
- 280 Concord Pkwy S Ste 110a
Concord, NC 28027-2704 - Phone
- (704) 920-1070
- Fax
- (704) 920-1071
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7059 | NC | Primary |
Addresses
Primary practice location
280 Concord Pkwy S Ste 110a
Concord, NC 28027-2704
Mailing address
280 Concord Pkwy S Ste 110a
Concord, NC 28027-2704
Phone (704) 920-1000
Other practice location 1
300 Mooresville Rd
Kannapolis, NC 28081-0304
Phone (704) 920-1070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9021H | Other | NC | BCBS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200409003506 | NC | Practitioner - Dentist | 3577862572 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7059 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Health Authority of Cabarrus County | Current | Accepting new patients | |
| Public Health Authority of Cabarrus County | Current | Accepting new patients |
Locations
280 Concord Pkwy S
Ste 110A
Concord, NC 28027
Phone (704) 920-1070
300 Mooresville Rd
Kannapolis, NC 28081
Phone (704) 920-1000
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.
-
- State or Local Public Health Clinic/Center
- Kannapolis, NC
- NPI 1649331638
NC
-
- Health Educator
- Kannapolis, NC
- NPI 1467345397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1205960309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CONCORD PKWY S STE 110A",
"city": "CONCORD",
"state": "NC",
"postal_code": "280272704",
"telephone_number": "704-920-1000",
"fax_number": "704-934-4270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 CONCORD PKWY S STE 110A",
"city": "CONCORD",
"state": "NC",
"postal_code": "280272704",
"telephone_number": "704-920-1070",
"fax_number": "704-920-1071"
}
],
"practiceLocations": [
{
"address_1": "300 Mooresville Rd",
"address_purpose": "LOCATION",
"city": "Kannapolis",
"state": "NC",
"postal_code": "280810304",
"country_code": "US",
"telephone_number": "704-920-1070",
"fax_number": "704-920-1071",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANTON-KANE",
"first_name": "KIMBERLEY",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "7059",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "9021H",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.