Organization Active NPI

Affordable Dentures & Implants - Palm Coast, P.a.

Doing business as Affordable Dentures & Implants - Palm Coast

  • General Practice Dentistry
  • Palm Coast, FL
National Provider Identifier
1548078975
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTURES & IMPLANTS - PALM COAST, P.A.
Doing business as
Affordable Dentures & Implants - Palm Coast
Practice address
5890 State Highway 100 E Unit 101
Palm Coast, FL 32164-2676
Phone
(386) 241-0086
NPI assigned
Dec 18, 2024
Last updated
Dec 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Caroline Kinker, DDS
Title
Owner
Phone
(386) 241-0086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

5890 State Highway 100 E Unit 101
Palm Coast, FL 32164-2676

Mailing address

5890 State Highway 100 E Unit 101
Palm Coast, FL 32164-2676
Phone (386) 241-0086

Other names 1

  • Affordable Dentures & Implants - Palm Coast Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1548078975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5890 STATE HIGHWAY 100 E UNIT 101",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642676",
            "telephone_number": "386-241-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 STATE HIGHWAY 100 E UNIT 101",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642676",
            "telephone_number": "386-241-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - PALM COAST, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "KINKER",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-241-0086",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentures & Implants - Palm Coast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.