Organization Active NPI

J. Jeff Kincaid, DMD, Ms

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Woodstock, GA
National Provider Identifier
1407061286
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN010224 Issued in GA
Legal business name
J. JEFF KINCAID, DMD, MS
Practice address
355 Parkway 575
Suite 200
Woodstock, GA 30188-3882
Phone
(770) 516-5773
Fax
(770) 516-5779
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph Jeffrey Kincaid, D.M.D., M.S.
Title
Doctor
Phone
(770) 516-5773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DN010224 GA Primary

Addresses

Primary practice location

355 Parkway 575
Suite 200
Woodstock, GA 30188-3882

Mailing address

355 Parkway 575
Suite 200
Woodstock, GA 30188-3882
Phone (770) 516-5773

National Provider Directory

National Provider Directory
Tax ID family
J Jeff Kincaid DMD Ms2 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.

Locations

355 Parkway 575
Ste 200
Woodstock, GA 30188
Phone (770) 516-5773

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407061286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 PARKWAY 575",
            "address_2": "SUITE 200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883882",
            "telephone_number": "770-516-5773",
            "fax_number": "770-516-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 PARKWAY 575",
            "address_2": "SUITE 200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883882",
            "telephone_number": "770-516-5773",
            "fax_number": "770-516-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. JEFF KINCAID, DMD, MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KINCAID",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "770-516-5773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN010224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.