Active NPI
Justin Kauffman, DDS
- Dentist
- Mooresville, NC
National Provider Identifier
1386536084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14349
- Practice address
- 128 Kistler Farm Rd
Mooresville, NC 28115-8143 - Phone
- (980) 528-4180
- NPI assigned
- Jul 17, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14349 | NC | Primary |
Addresses
Primary practice location
128 Kistler Farm Rd
Mooresville, NC 28115-8143
Mailing address
200 Farm Quarter Rd Unit D
Mooresville, NC 28115-5874
Phone (330) 465-2406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14349 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1386536084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 FARM QUARTER RD UNIT D",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281155874",
"telephone_number": "330-465-2406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 KISTLER FARM RD",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281158143",
"telephone_number": "980-528-4180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFFMAN",
"first_name": "JUSTIN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-17",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "14349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.