Organization Active NPI

Kingery & Kingery, DDS, PLLC

  • General Practice Dentistry
  • Clemmons, NC
National Provider Identifier
1659303139
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5158 Issued in TN
Legal business name
KINGERY & KINGERY, DDS, PLLC
Practice address
2554 Lewisville Clemmons Rd
Suite 104
Clemmons, NC 27012-8110
Phone
(336) 766-0511
Fax
(336) 766-7390
NPI assigned
Jul 7, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. William H. Kingery Sr., D.D.S.NPI 1528193752
Title
Owner/Dentist
Phone
(336) 766-0511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3468 TN
General Practice Dentistry 1223G0001X 5158 TN Primary

Addresses

Primary practice location

2554 Lewisville Clemmons Rd
Suite 104
Clemmons, NC 27012-8110

Mailing address

2554 Lewisville Clemmons Rd
Suite 104
Clemmons, NC 27012-8110
Phone (336) 766-0511

National Provider Directory

National Provider Directory

Locations

2554 Lewisville Clemmons Rd
Ste 104
Clemmons, NC 27012
Phone (336) 766-0511

Practitioners & affiliated clinicians

Practitioners 1

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": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1659303139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2554 LEWISVILLE CLEMMONS RD",
            "address_2": "SUITE 104",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128110",
            "telephone_number": "336-766-0511",
            "fax_number": "336-766-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2554 LEWISVILLE CLEMMONS RD",
            "address_2": "SUITE 104",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128110",
            "telephone_number": "336-766-0511",
            "fax_number": "336-766-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGERY & KINGERY, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KINGERY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "336-766-0511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "3468",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "5158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.