Active NPI
Henry D Duncan DDS PA
- General Practice Dentistry
- Kannapolis, NC
National Provider Identifier
1336306471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3784
- Legal business name
- HENRY D DUNCAN DDS PA
- Practice address
- 814 Sloop Ave
Kannapolis, NC 28083-2992 - Phone
- (704) 933-2116
- Fax
- (704) 932-2195
- NPI assigned
- May 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Henry Davis Duncan, DDS
- Title
- Dentist Owner
- Phone
- (704) 933-2116
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3784 | NC | Primary |
Addresses
Primary practice location
814 Sloop Ave
Kannapolis, NC 28083-2992
Mailing address
814 Sloop Ave
Kannapolis, NC 28083-2992
Phone (704) 933-2116
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 438379 | Other | NC | UNITED CONCORDIA PROVIDER NUMBER |
| 8992238 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
814 Sloop Ave
Kannapolis, NC 28083
Phone (704) 933-2115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210896000000",
"number": "1336306471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 SLOOP AVE",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280832992",
"telephone_number": "704-933-2116",
"fax_number": "704-932-2195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 SLOOP AVE",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280832992",
"telephone_number": "704-933-2116",
"fax_number": "704-932-2195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY D DUNCAN DDS PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-16",
"last_updated": "2008-05-16",
"status": "A",
"authorized_official_last_name": "DUNCAN",
"authorized_official_first_name": "HENRY",
"authorized_official_middle_name": "DAVIS",
"authorized_official_title_or_position": "DENTIST OWNER",
"authorized_official_telephone_number": "704-933-2116",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "3784",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA PROVIDER NUMBER",
"identifier": "438379",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8992238",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kannapolis, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.