Organization Active NPI

Rhonda L Kearney, DDS, Ms, PLLC

  • Pediatric Dentistry
  • Henderson, NC
National Provider Identifier
1699074112
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
7998 Issued in NC
Legal business name
RHONDA L KEARNEY, DDS, MS, PLLC
Practice address
451 Ruin Creek Rd.
205
Henderson, NC 27536-0000
Phone
(252) 492-5437
Fax
(252) 492-5440
NPI assigned
Mar 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Rhonda Kearney, DDS, MSNPI 1740485846
Title
Owner/Pediatric Dentist
Phone
(252) 492-5437

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 7998 NC Primary

Addresses

Primary practice location

451 Ruin Creek Rd.
205
Henderson, NC 27536-0000

Mailing address

451 Ruin Creek Rd
205
Henderson, NC 27536-2878
Phone (252) 492-5437

Other names 1

  • Henderson Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

451 Ruin Creek Rd
Ste 205
Henderson, NC 27536
Phone (252) 492-5437

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1699074112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 RUIN CREEK RD",
            "address_2": "205",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362878",
            "telephone_number": "252-492-5437",
            "fax_number": "252-492-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 RUIN CREEK RD.",
            "address_2": "205",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275360000",
            "telephone_number": "252-492-5437",
            "fax_number": "252-492-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHONDA L KEARNEY, DDS, MS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KEARNEY",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "252-492-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "7998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henderson Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.