Individual provider Active NPI

Kenneth Tilman Perkins, DDS PA

  • General Practice Dentistry
  • High Point, NC
National Provider Identifier
1265528400
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4863 Issued in NC
Practice address
101 Northpoint Ave
High Point, NC 27262-7719
Phone
(336) 883-6450
Fax
(336) 883-6451
NPI assigned
Oct 5, 2006
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4863 NC Primary

Addresses

Primary practice location

101 Northpoint Ave
High Point, NC 27262-7719

Mailing address

101 Northpoint Ave
High Point, NC 27262-7719
Phone (336) 883-6450

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
I20150731016121 NC Order and Referring Only - DentistPractitioner - Dentist 5395059588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4863NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph G. Bussell, DDS, PA Past Accepting new patients
Annie M Reid D.D.S. General Practice Past Accepting new patients
Lane and Associates Xxxviii DDS PA General Practice PastSince Mar 1, 2020 Accepting new patients

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1265528400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NORTHPOINT AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627719",
            "telephone_number": "336-883-6450",
            "fax_number": "336-883-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NORTHPOINT AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627719",
            "telephone_number": "336-883-6450",
            "fax_number": "336-883-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "KENNETH",
        "middle_name": "TILMAN",
        "name_prefix": "Dr.",
        "credential": "DDS PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.