Kristin Main DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KRISTIN MAIN DDS, PLLC

Doing business as

Main Family Dental

Practice address

110 Village Rd NE Unit a
Leland, NC 28451-7412

Phone

(910) 371-0966

Fax

(910) 371-0968

NPI assigned

Aug 5, 2022

Organization subpart

No

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

Authorized official

Name

Kristin L Main, DDSNPI 1609005859

Title

Owner Dentist

Phone

(616) 403-1510

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Main Family Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Leigh Main, D.D.S.

  • General Practice Dentistry
  • Fuquay-Varina, NC
  • NPI 1609005859
  NPD Authorized official

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1609503036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 VILLAGE RD NE UNIT A",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284517412",
            "telephone_number": "910-371-0966",
            "fax_number": "910-371-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 VILLAGE RD NE UNIT A",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284517412",
            "telephone_number": "910-371-0966",
            "fax_number": "910-371-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN MAIN DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "MAIN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "616-403-1510",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609005859",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Knight
• Rachel Adams Knight
• Jackie Koekkoek, MSOM, L AC., LMBT
• Tanis McKenna Kohl
• Jerry Kohout Jr.
• Jonathan Richard Lampe
• Jeffrey Lance, FNP-BC
• Kevin Lamont Lane
• Aubrey O'Rourke Lavoie, PHARMD
• Lawrence M Linett, MD, PLLC

• Dental Clinic/Center in Leland, NC
• Providers in Leland, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.