Nickolas a. Kephart DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NICKOLAS A. KEPHART DDS PLLC

Doing business as

Ardmore Dentistry

Practice address

3165 Maplewood Ave
Winston Salem, NC 27103-3919

Phone

(336) 760-9840

Fax

(336) 760-9841

NPI assigned

Aug 16, 2019

Last updated

Aug 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nickolas Andrew Kephart, DDSNPI 1427494350

Title

Owner

Phone

(336) 760-9840

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ardmore Dentistry Doing business as

Locations

Practitioners 3

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.

• Nickolas Andrew Kephart, D.D.S.

  • General Practice Dentistry
  • Winston Salem, NC
  • NPI 1427494350
  NPD (past) Authorized official
• Christopher R. Ioan, DDS

  • General Practice Dentistry
  • Mocksville, NC
  • NPI 1134797137
  NPD (past)
• Kenneth R Phillips, DDS

  • General Practice Dentistry
  • Winston Salem, NC
  • NPI 1306852868
  NPD (past)

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1225684079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 MAPLEWOOD AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033919",
            "telephone_number": "336-760-9840",
            "fax_number": "336-760-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 MAPLEWOOD AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033919",
            "telephone_number": "336-760-9840",
            "fax_number": "336-760-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKOLAS A. KEPHART DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "KEPHART",
        "authorized_official_first_name": "NICKOLAS",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-760-9840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1154559318",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427494350",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ardmore Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Nicholson
• Stephanie Alexandria Nicholson, FNP
• Kathryn Louise Nickerson, PA-C
• Grace Nicklas-Morris, PA-C
• Alexander Warman Nickle, M.D.
• Bret Anthony Nicks, MD
• Lauren Parks Nicola, M.D.
• Nicolas R Bisig DMD PLLC
• Nicole R Miller DDS (Inspira Dental Care)
• Nicole R. Miller, DDS PA (Winston Salem Dental Specialists)

• General Practice Dentistry in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.