Organization Active NPI

Kenneth E.Holton D.D.S.,P.a.

  • Dentist
  • New Bern, NC
National Provider Identifier
1629100391
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5399 Issued in NC
Legal business name
KENNETH E.HOLTON D.D.S.,P.A.
Practice address
900 Newman Rd
New Bern, NC 28562-5200
Phone
(252) 633-5343
Fax
(252) 634-3001
NPI assigned
Mar 9, 2007
Last updated
Oct 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Dr. Kenneth E. HoltonNPI 1730211459
Title
Dr.
Phone
(252) 633-5343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5399 NC Primary

Addresses

Primary practice location

900 Newman Rd
New Bern, NC 28562-5200

Mailing address

900 Newman Rd
New Bern, NC 28562-5200
Phone (252) 633-5343

Other identifiers 1

IdentifierTypeStateIssuer
7994045MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1629100391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625200",
            "telephone_number": "252-633-5343",
            "fax_number": "252-634-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625200",
            "telephone_number": "252-633-5343",
            "fax_number": "252-634-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH E.HOLTON D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "HOLTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "252-633-5343",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "5399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7994045",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.