Individual provider Active NPI

Ingeborg Johanna De Kok, DDS, MS

  • Prosthodontics
  • Apex, NC
National Provider Identifier
1235297698
Registry record updated Jan 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
0052 Issued in NC
Practice address
500 W Williams St
Apex, NC 27502-1846
Phone
(919) 387-4775
NPI assigned
Dec 5, 2006
Last updated
Jan 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 0052 NC Primary

Addresses

Primary practice location

500 W Williams St
Apex, NC 27502-1846

Mailing address

618 Windsong LN
Durham, NC 27713-9169

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
I20151230000253 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9638471147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0052NCMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Ingeborg J. de Kok, DDS, Ms, PLLC CurrentSince Feb 8, 2023 Accepting new patients
Dental Faculty Practice Prosthodontics PastSince Jan 2, 1998 Accepting new patients
Nancy R. Chaffee, D.D.S., M.S., P.L.L.C. Prosthodontics PastSince Jan 29, 2023 Accepting new patients

Locations

500 W Williams St
Apex, NC 27502
Phone (919) 387-4775

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674864000000",
    "number": "1235297698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 WINDSONG LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W WILLIAMS ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021846",
            "telephone_number": "919-387-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE KOK",
        "first_name": "INGEBORG",
        "middle_name": "JOHANNA",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-01-28",
        "certification_date": "2023-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NC",
            "license": "0052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

Verify at the official NPI Registry.