Amanda Kerns, DDS, MS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

11271 Issued in NC

Practice address

890 Summit Crossing PL
Gastonia, NC 28054-2192

Phone

(704) 874-0377

Fax

(704) 853-5455

NPI assigned

Jun 11, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Amanda Kilburn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Burrow, Welchel, Culp & Moore, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Charlotte, NC
  • NPI 1578785994

  Pediatric Dentistry

  NPD (past)

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1295148807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1904",
            "fax_number": "704-864-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 SUMMIT CROSSING PL",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542192",
            "telephone_number": "704-874-0377",
            "fax_number": "704-853-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNS",
        "first_name": "AMANDA",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401415217",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "11271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "KILBURN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashya Kennedy, MED, LPCA, NCC
• Ebony Kyerra Kennedy, PHARMD
• Carol Kennerly, LPC
• Macey McSwain Kennerly, PMHNP-BC
• Michele Marie Kerbow, M.D.
• Kerr Drug Inc
• Mary-Jacqueline Delores Kersey, LCSWA
• Glenda Harbin Kessell, RPH
• Hannah Kessler
• Kevin Dibella, P.C.

• Pediatric Dentistry in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.