Organization Active NPI

Bckingsbury PLLC

Doing business as Dome Dentistry

  • Dental Clinic/Center
  • Fairview, NC
National Provider Identifier
1265327944
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BCKINGSBURY PLLC
Doing business as
Dome Dentistry
Practice address
2162 Emmas Grove Rd
Fairview, NC 28730
Phone
(828) 470-1221
Fax
(828) 470-1280
NPI assigned
Jun 11, 2025
Last updated
Jun 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Dr. Blake KingsburyNPI 1831338276
Title
Dentist
Phone
(904) 710-8011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2162 Emmas Grove Rd
Fairview, NC 28730

Mailing address

2162 Emmas Grove Rd
Fairview, NC 28730
Phone (828) 470-1221

Other names 1

  • Dome Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2162 Emmas Grove Rd
Fairview, NC 28730
Phone (828) 470-1221

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": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1265327944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 EMMAS GROVE RD",
            "city": "FAIRVIEW",
            "state": "NC",
            "postal_code": "28730",
            "telephone_number": "828-470-1221",
            "fax_number": "828-470-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 EMMAS GROVE RD",
            "city": "FAIRVIEW",
            "state": "NC",
            "postal_code": "28730",
            "telephone_number": "828-470-1221",
            "fax_number": "828-470-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCKINGSBURY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "KINGSBURY",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "904-710-8011",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dome Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairview, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.