Charles L. Kincaid D.D.S. P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHARLES L. KINCAID D.D.S. P.A.

Practice address

306 E 23Rd St
Lawrence, KS 66046-4801

Phone

(785) 843-4333

Fax

(785) 843-1218

NPI assigned

Nov 2, 2006

Last updated

Oct 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles L. Kincaid, DDSNPI 1538137187

Title

Owner

Phone

(785) 843-4333

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles L Kincaid, DDS

  • General Practice Dentistry
  • Lawrence, KS
  • NPI 1538137187
  NPD (past) Authorized official
• Susan G Hall, DDS

  • General Practice Dentistry
  • Lawrence, KS
  • NPI 1942278585
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1477632560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E 23RD ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660464801",
            "telephone_number": "785-843-4333",
            "fax_number": "785-843-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E 23RD ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660464801",
            "telephone_number": "785-843-4333",
            "fax_number": "785-843-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES L. KINCAID D.D.S. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "KINCAID",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-843-4333",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100096960B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100348570B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chang Chiropractic and Acupuncture Clinic, P.a.
• Elizabeth W Chao, LSCSW
• Ann Chapman, R.D.
• Emma Chapman
• Michael James Chapman, P.T.
• Susan Marie Chase, MSW, LSCSW
• Emilie Chavez
• Lexie Catherine Chavez
• Henry Parker Cheatum
• Elias Chediak IV, M.D.

• General Practice Dentistry in Lawrence, KS
• Providers in Lawrence, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.