Sean Killpack, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12709 Issued in NC

Practice address

4 Doctors Park Ste D
Asheville, NC 28801-4523

Phone

(828) 216-9531

NPI assigned

May 31, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Leslie Wessinger DDS PLLC

  • General Practice Dentistry
  • Asheville, NC
  • NPI 1912533019
  NPD (past)

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1700525789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MEADOW RUN DR",
            "city": "MILLS RIVER",
            "state": "NC",
            "postal_code": "287593601",
            "telephone_number": "801-369-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 DOCTORS PARK STE D",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014523",
            "telephone_number": "828-216-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLPACK",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "12709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Leah Kilkenny, LCSW
• Julia N Killen, NP
• Andrew Killian, RRT
• Frank Andreas Killian, M.D.
• Jancy Hewett Killian, PHARMD
• Ann-Marie Kilpatrick, LCMHCS
• Tyler Michelle Kilpatrick, DPT
• Hannah Kim, LAC.
• Yung Esther Kim, PT
• Barbara Willis Kimbrell, LCAS

• Pediatric Dentistry in Asheville, NC
• Providers in Asheville, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.