Organization Active NPI

Serena Kankash DMD PA

  • Pediatric Dentistry
  • Fayetteville, NC
National Provider Identifier
1457153447
Registry record updated Oct 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SERENA KANKASH DMD PA
Practice address
2038 Litho PL
Fayetteville, NC 28304-2518
Phone
(508) 517-3067
NPI assigned
Mar 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2025

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

Authorized official

Name
Serena Kankash, DMDNPI 1477994598
Title
Owner
Phone
(919) 346-4711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2038 Litho PL
Fayetteville, NC 28304-2518

Mailing address

726 N Main St
PMB 699
Fuquay Varina, NC 27526-2029
Phone (919) 346-4711

Other names 1

  • Soaring Smiles Dentistry for Children Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760832000000",
    "number": "1457153447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 N MAIN ST",
            "address_2": "PMB 699",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262029",
            "telephone_number": "919-346-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2038 LITHO PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042518",
            "telephone_number": "508-517-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENA KANKASH DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-10-19",
        "certification_date": "2025-10-19",
        "status": "A",
        "authorized_official_last_name": "KANKASH",
        "authorized_official_first_name": "SERENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-346-4711",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soaring Smiles Dentistry for Children",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

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

Verify at the official NPI Registry.