Individual provider Active NPI

Michael Kinno, D.D.S.

  • Dentist
  • Hamlet, NC
National Provider Identifier
1265847388
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9779 Issued in NC
Practice address
806 W Hamlet Ave
Hamlet, NC 28345-2508
Phone
(910) 582-5143
Fax
(910) 582-8620
NPI assigned
Jun 26, 2014
Last updated
Nov 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9779 NC Primary

Addresses

Primary practice location

806 W Hamlet Ave
Hamlet, NC 28345-2508

Mailing address

806 W Hamlet Ave
Hamlet, NC 28345-2508
Phone (910) 582-5143

Other names 1

  • Muhanad Kinno Former name

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
I20160601002425 NC Order and Referring Only - DentistPractitioner - Dentist 7517257603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9779NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stedman-Wade Health Services, Inc. Past Accepting new patients
Stedman-Wade Health Services, Inc. Past Accepting new patients
Lane and Associates Xxviii, DDS PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michael.kinno.1@7912.direct.athenahealth.com

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": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1265847388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 W HAMLET AVE",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283452508",
            "telephone_number": "910-582-5143",
            "fax_number": "910-582-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 W HAMLET AVE",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283452508",
            "telephone_number": "910-582-5143",
            "fax_number": "910-582-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNO",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUHANAD",
            "last_name": "KINNO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hamlet, NC

Sources for this page

Verify at the official NPI Registry.