K. Kevin Neshat, DDS, MD, PA

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

K. KEVIN NESHAT, DDS, MD, PA

Doing business as

PreservEndo

Practice address

610 Dr Calvin Jones Hwy Ste 100
Wake Forest, NC 27587-3104

Phone

(919) 336-5230

NPI assigned

Jun 21, 2023

Last updated

Dec 23, 2024By 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

Gloria Bohne

Title

Director of RCM

Phone

(984) 308-0506

Specialties & licenses 1

Addresses

Other names 1

• PreservEndo Doing business as

Tax ID family

K Kevin Neshat DDS MD PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• K. Kevin Neshat, DDS, MD, PA

  dba Wendell Family Dentistry

  • General Practice Dentistry
  • Wendell, NC
  • NPI 1629849088
  NPD tax ID
• K. Kevin Neshat, DDS, MD, PA

  dba Padgett Dental Partners

  • General Practice Dentistry
  • Greenville, NC
  • NPI 1871444109
  NPD tax ID

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.

• Moochan Kim, DDS

  • Endodontics
  • Wake Forest, NC
  • NPI 1992359954
  NPD
• Jake Reynolds, DMD, MSD

  • Endodontics
  • Wake Forest, NC
  • NPI 1225019979
  NPD (past)
• Isaac Lee, DDS

  • Dentist
  • Amherst, NY
  • NPI 1700158029
  NPD (past)

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1265117725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 DR CALVIN JONES HWY STE 100",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873104",
            "telephone_number": "919-336-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 DR CALVIN JONES HWY STE 100",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873104",
            "telephone_number": "919-336-5230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Walnut St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275114215",
            "country_code": "US",
            "telephone_number": "919-336-5230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 N Arendell Ave",
            "address_purpose": "LOCATION",
            "city": "Zebulon",
            "state": "NC",
            "postal_code": "275972609",
            "country_code": "US",
            "telephone_number": "919-336-5230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 N Winstead Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278048712",
            "country_code": "US",
            "telephone_number": "919-336-5230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "K. KEVIN NESHAT, DDS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "BOHNE",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "DIRECTOR OF RCM",
        "authorized_official_telephone_number": "984-308-0506"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PreservEndo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PreservEndo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• K and S Wellness LLC (Vitality Chiropractic & Family Wellness)
• K. Jasinski, D.M.D., P.C. (Premier Dentistry of Wake Forest)
• K. Jasinski, D.M.D., P.C. (Wake Forest Dental Arts)
• K. Jasinski, D.M.D., P.C. (Forestville Road Dental Care)
• K. Jasinski, D.M.D., P.C. (Dental Care at Harris Crossing)
• Abbigail Joan Kalaf, LPC, BCPCC
• Brandon Kaminski, D.C.
• Mikayli Kanae, OTR/L
• Angela Kang, DMD
• Kara Care Home

• Endodontics in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Endodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.