Ronald Keith Dedmond, D.D.S.,P.A.

Primary specialty

DentistTaxonomy code 122300000X

License

4049 Issued in NC

Practice address

301 S Academy St
Lincolnton, NC 28092-2716

Phone

(704) 735-7001

Fax

(704) 735-7654

NPI assigned

Sep 12, 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 2

Medicare fee-for-service enrollment

Enrolled in NC

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

Credentials

Physician Assistant

State licenses

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.

• R Keith Dedmond DDS PA

  • Dentist
  • Lincolnton, NC
  • NPI 1457375776
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1598869075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WOODVALE CIR",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280927712",
            "telephone_number": "704-735-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S ACADEMY ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280922716",
            "telephone_number": "704-735-7001",
            "fax_number": "704-735-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDMOND",
        "first_name": "RONALD",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "4049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1457375776",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8992085",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David E Thome DDS PLLC I
• David E Thome DDS PLLC VI
• Brandy Cheyenne Davis
• Crystal Harris Davis
• Alyssa N. Dedmon, FNP
• Derrick W. Denman D.C. P.a.
• Kelly Lynn Dias, PT, DPT
• Marcy Dickey
• DLP Frye Medical Group LLC
• Bernice Hoanglan Doan, MD

• All providers in Lincolnton, NC
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.