Individual provider Active NPI

Kimberley Canton-Kane, D.D.S

  • General Practice Dentistry
  • Concord, NC
National Provider Identifier
1205960309
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7059 Issued in NC
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

Updated by the provider on Jul 24, 2026

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 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

IdentifierTypeStateIssuer
9021HOtherNCBCBS

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
I20200409003506 NC Practitioner - Dentist 3577862572 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7059NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Authority of Cabarrus County CurrentSince Mar 13, 2020 Accepting new patients
Public Health Authority of Cabarrus County CurrentSince Mar 13, 2020 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.

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

Verify at the official NPI Registry.