Charles L Kincaid, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5272 Issued in KS

Practice address

306 E 23Rd St
Lawrence, KS 66046-4801

Phone

(785) 843-4559

Fax

(785) 843-1218

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charles L. Kincaid D.D.S. P.a.

  • General Practice Dentistry
  • Lawrence, KS
  • NPI 1477632560
  NPD (past) Authorized official
• Associates in Dentistry PA

  • Public Health Dentistry
  • Lawrence, KS
  • NPI 1285444273
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1538137187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3745",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660460745",
            "telephone_number": "785-843-4559",
            "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": "785-843-4559",
            "fax_number": "785-843-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "CHARLES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "5272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKC",
            "identifier": "12985022",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100096960A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKS",
            "identifier": "116696",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "21647",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James W. Kim, MD
• Julien Njogu Kimani
• Jason P Kimball, M.D.
• Kenneth K Kimmel, M.D.
• Larisa Elaine Kimuri, M.D.
• Kindred Spirit Counseling, LLC
• Kinetikos Bodywork Therapy
• Debra H King, LSCSW, TLAC
• Jonathan King, PMHNP-BC
• Jordan King

• 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 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.