NPIMap

Organization Active NPI

Kevin D. Daugherty, DMD and Savannah H. Daughtery. DMD, PA

Doing business as Laurel Park Family Dental Care

  • Dental Clinic/Center
  • Hendersonville, NC
National Provider Identifier
1740707793
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
9396 Issued in NC
Legal business name
KEVIN D. DAUGHERTY, DMD AND SAVANNAH H. DAUGHTERY. DMD, PA
Doing business as
Laurel Park Family Dental Care
Practice address
1700 Old Village Rd
Hendersonville, NC 28791-3736
Phone
(828) 693-5190
NPI assigned
Aug 29, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Savannah Daugherty, DMD
Title
Doctor
Phone
(828) 693-5190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 9396 NC Primary

Addresses

Primary practice location

1700 Old Village Rd
Hendersonville, NC 28791-3736

Mailing address

1700 Old Village Rd
Hendersonville, NC 28791-3736
Phone (828) 693-5190

Other identifiers 2

IdentifierTypeStateIssuer
1932451267OtherNCNPPES
1467854711OtherNCNPPES

Other names 1

  • Laurel Park Family Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kevin D Daugherty DMD and Savannah H Daugherty DMD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1700 Old Village Rd
Hendersonville, NC 28791
Phone (828) 693-5190

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": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1740707793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 OLD VILLAGE RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913736",
            "telephone_number": "828-693-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 OLD VILLAGE RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913736",
            "telephone_number": "828-693-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN D. DAUGHERTY, DMD AND SAVANNAH H. DAUGHTERY. DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "SAVANNAH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "828-693-5190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "9396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1932451267",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1467854711",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Park Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.