K and N Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3313 Issued in SC

Legal business name

K AND N DENTAL GROUP

Practice address

125 Powell Mill Rd
Spartanburg, SC 29301-1589

Phone

(864) 574-0788

Fax

(864) 576-5359

NPI assigned

Oct 13, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Hampton Kennemore, DMD

Title

Owner

Phone

(864) 576-7169

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

K and N Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• K & N Dental Group LLC

  • General Practice Dentistry
  • Spartanburg, SC
  • NPI 1215337167
  NPD tax ID

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1396070116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 POWELL MILL RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011589",
            "telephone_number": "864-574-0788",
            "fax_number": "864-576-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 POWELL MILL RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011589",
            "telephone_number": "864-574-0788",
            "fax_number": "864-576-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K AND N DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "KENNEMORE",
        "authorized_official_first_name": "HAMPTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-576-7169",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3313",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3783",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9626",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa L Judd, MSW LISW-CP ACSW
• Dennis Gregg Jurs, M.D.
• Julie Sain Justice, FNP-C
• Stacy Justice, LPC A
• K & N Dental Group LLC
• Darya Kaborda
• Niasaya Kafele, MA, ED.S, LPC
• Kathleen Irina Kalafatis, DO
• Mathew S Kalapurakal, MD
• Padmapriya Kalingiam-Vasudevan, M.D

• General Practice Dentistry in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.