Kristin Leigh Main, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8893 Issued in NC

Practice address

1625 N. Main St.
Suite 201
Fuquay-Varina, NC 27526

Phone

(919) 557-7799

Fax

(919) 557-6677

NPI assigned

Jul 9, 2009

Last updated

Jan 7, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

State licenses

Practice roles

Locations

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

• Kristin Main DDS, PLLC

  dba Main Family Dental

  • Dental Clinic/Center
  • Leland, NC
  • NPI 1609503036
  NPD Authorized official
• Abdelbaky, Arbon & Boes, PLLC

  dba Carolina Orthodontic and Children's Dentistry

  • Pediatric Dentistry
  • Cary, NC
  • NPI 1063868438
  NPD (past)
• Dr. Cameron & Associates of Fuquay, PLLC

  dba Triangle Family Dentistry

  • General Practice Dentistry
  • Fuquay Varina, NC
  • NPI 1790055044
  NPD (past)

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1609005859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8470 FALLS OF NEUSE RD",
            "address_2": "SUITE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27615",
            "telephone_number": "919-977-0627",
            "fax_number": "919-977-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N. MAIN ST.",
            "address_2": "SUITE 201",
            "city": "FUQUAY-VARINA",
            "state": "NC",
            "postal_code": "27526",
            "telephone_number": "919-557-7799",
            "fax_number": "919-557-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIN",
        "first_name": "KRISTIN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8893",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Leigh Macko, LCSW
• Ellen Marie Macri
• Alexis Mady, DDS
• Magnolia Behavioral Health, PLLC (Magnolia Psychiatry and Mental Wellness)
• Daniel John Mahar, DDS
• William Paul Mancil, DPT
• Jaqueline Mann
• Sinthia Mannan, MD
• Mamei Siatta Mansaray
• Rachel Margolin

• General Practice Dentistry in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.