NPIMap

Organization Active NPI

Audrey Kinder DMD PLLC

  • Dental Clinic/Center
  • Pineville, KY
National Provider Identifier
1235622507
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
10120 Issued in KY
Legal business name
AUDREY KINDER DMD PLLC
Practice address
121 W Virginia Ave
Pineville, KY 40977-1661
Phone
(606) 337-3034
NPI assigned
Jun 12, 2018
Last updated
Jun 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Authorized official

Name
Dr. Audrey Craig Kinder, DMDNPI 1790278547
Title
General Dentist
Phone
(606) 269-9443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 10120 KY Primary

Addresses

Primary practice location

121 W Virginia Ave
Pineville, KY 40977-1661

Mailing address

121 W Virginia Ave
Pineville, KY 40977-1661
Phone (606) 337-3034

National Provider Directory

National Provider Directory

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": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1235622507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W VIRGINIA AVE",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771661",
            "telephone_number": "606-337-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W VIRGINIA AVE",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771661",
            "telephone_number": "606-337-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDREY KINDER DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "KINDER",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "606-269-9443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KY",
            "license": "10120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.