NPIMap

Organization Active NPI

Keith G Kordsmeier DDS PA

  • General Practice Dentistry
  • Greensboro, NC
National Provider Identifier
1275681702
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NC 7724 Issued in NC
Legal business name
KEITH G KORDSMEIER DDS PA
Practice address
104 W Northwood St
Ste C
Greensboro, NC 27401-1326
Phone
(336) 272-6235
NPI assigned
Jan 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Keith G Kordsmeier, D.D.S.NPI 1083780050
Title
Owner
Phone
(336) 272-6235

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
General Practice Dentistry 1223G0001X NC 7724 NC Primary

Addresses

Primary practice location

104 W Northwood St
Ste C
Greensboro, NC 27401-1326

Mailing address

104 W Northwood St
Ste C
Greensboro, NC 27401-1326

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275681702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W NORTHWOOD ST",
            "address_2": "STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W NORTHWOOD ST",
            "address_2": "STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011326",
            "telephone_number": "336-272-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH G KORDSMEIER DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KORDSMEIER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-272-6235",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC 7724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.