Organization Active NPI

Thome & Kankash DDS PLLC I

  • Pediatric Dentistry
  • Fuquay Varina, NC
National Provider Identifier
1396388096
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
THOME & KANKASH DDS PLLC I
Practice address
401 Attain St Ste 111
Fuquay Varina, NC 27526-2702
Phone
(980) 729-5200
NPI assigned
Oct 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Authorized official

Name
David Eugene Thome, DDS
Title
Owner
Phone
(980) 729-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

401 Attain St Ste 111
Fuquay Varina, NC 27526-2702

Mailing address

8604 Cliff Cameron Dr Ste 170
Charlotte, NC 28269-8508
Phone (980) 729-5200

National Provider Directory

National Provider Directory

Locations

8604 Cliff Cameron Dr
Ste 170
Charlotte, NC 28269
Phone (704) 594-9837

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1396388096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8604 CLIFF CAMERON DR STE 170",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282698508",
            "telephone_number": "980-729-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ATTAIN ST STE 111",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262702",
            "telephone_number": "980-729-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOME & KANKASH DDS PLLC I",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "THOME",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-729-5200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.