NPIMap

Organization Active NPI

John S Kitzmiller III DDS PLLC

Doing business as Apex Dental Group, Dr John S Kitzmiller III & Associates

  • General Practice Dentistry
  • Apex, NC
National Provider Identifier
1225253586
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5719 Issued in NC
Legal business name
JOHN S KITZMILLER III DDS PLLC
Doing business as
Apex Dental Group, Dr John S Kitzmiller III & Associates
Practice address
1021 W Williams St
Suite 101
Apex, NC 27502-3956
Phone
(919) 362-1341
Fax
(919) 362-9656
NPI assigned
Apr 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John Stanley Kitzmiller III, DDSNPI 1548485881
Title
Owner
Phone
(919) 362-1341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5719 NC Primary

Addresses

Primary practice location

1021 W Williams St
Suite 101
Apex, NC 27502-3956

Mailing address

1021 W Williams St
Suite 101
Apex, NC 27502-3956
Phone (919) 362-1341

Other names 1

  • Apex Dental Group, Dr John S Kitzmiller III & Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1021 W Williams St
Ste 101
Apex, NC 27502
Phone (919) 362-1341

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225253586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W WILLIAMS ST",
            "address_2": "SUITE 101",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023956",
            "telephone_number": "919-362-1341",
            "fax_number": "919-362-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 W WILLIAMS ST",
            "address_2": "SUITE 101",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275023956",
            "telephone_number": "919-362-1341",
            "fax_number": "919-362-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S KITZMILLER III DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KITZMILLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-362-1341",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apex Dental Group, Dr John S Kitzmiller III & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.