Active NPI
Kathleen Stanton
- General Practice Dentistry
- North Wilkesboro, NC
National Provider Identifier
1225342017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8990
- Practice address
- 1915 W Park Dr
Suite 104
North Wilkesboro, NC 28659-3511 - Phone
- (336) 903-9300
- Fax
- (336) 903-0464
- NPI assigned
- Aug 4, 2010
- 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 | 8990 | NC | Primary |
Addresses
Primary practice location
1915 W Park Dr
Suite 104
North Wilkesboro, NC 28659-3511
Mailing address
1915 W Park Dr
Suite 104
North Wilkesboro, NC 28659-3511
Phone (336) 903-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8990 | NC | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilkes Dental Consortium | General Practice | Past | Accepting new patients |
| Wilkes Dental Consortium Inc | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- North Wilkesboro, NC
- NPI 1508380544
-
- Dentist
- N Wilkesboro, NC
- NPI 1184728339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417392000000",
"number": "1225342017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915 W PARK DR",
"address_2": "SUITE 104",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286593511",
"telephone_number": "336-903-9300",
"fax_number": "336-903-0464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 W PARK DR",
"address_2": "SUITE 104",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286593511",
"telephone_number": "336-903-9300",
"fax_number": "336-903-0464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANTON",
"first_name": "KATHLEEN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-04",
"last_updated": "2014-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "8990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Wilkesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.