Organization Active NPI

Henry D Duncan DDS PA

  • General Practice Dentistry
  • Kannapolis, NC
National Provider Identifier
1336306471
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3784 Issued in NC
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

Updated by the provider on May 16, 2008

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
438379OtherNCUNITED CONCORDIA PROVIDER NUMBER
8992238MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.