Active NPI
Hunter Croom Joh, DDS
- Dentist
- Kenansville, NC
National Provider Identifier
1427147354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7293
- Practice address
- 123 Bryan Street
Kenansville, NC 28349 - Phone
- (910) 275-1880
- Fax
- (910) 275-1883
- NPI assigned
- Oct 11, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 7293 | NC | Primary |
Addresses
Primary practice location
123 Bryan Street
Kenansville, NC 28349
Mailing address
PO Box 826
Kenansville, NC 28349-0826
Phone (910) 275-1880
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 |
|---|---|---|---|
| 7293 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hunter C. Joh, DDS PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Kenansville, NC
- NPI 1811283518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427147354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 826",
"city": "KENANSVILLE",
"state": "NC",
"postal_code": "283490826",
"telephone_number": "910-275-1880",
"fax_number": "910-275-1883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 BRYAN STREET",
"city": "KENANSVILLE",
"state": "NC",
"postal_code": "28349",
"telephone_number": "910-275-1880",
"fax_number": "910-275-1883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOH",
"first_name": "HUNTER",
"middle_name": "CROOM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "7293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenansville, NC
- Hope Inthe Carolina, L.L.C.
- Howell Support Services
- Hunter C. Joh, DDS PA
- Amanda Ward Isbell, CNM
- Sri Lakshmi Jasthy, MD
- Judith Cavenaugh Johnson, MSW, LCSW
- Kenansville Opco LLC (Kenansville Rehabilitation and Healthcare Center)
- Ashley Thigpen Kennedy, OTR
- Jade-Anna King, PHARMD
- Jonathan Hargett Kornegay, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.