Active NPI
Henry D Duncan, DDS
- General Practice Dentistry
- Kannapolis, NC
National Provider Identifier
1750318911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3784
- Practice address
- 814 Sloop Ave
Kannapolis, NC 28083-2992 - Phone
- (704) 933-2116
- Fax
- (704) 932-2195
- NPI assigned
- Jun 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3784 | NC | Primary |
Addresses
Primary practice location
814 Sloop Ave
Kannapolis, NC 28083-2992
Mailing address
814 Sloop Ave
Kannapolis, NC 28083-2992
Phone (704) 933-2116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8992238 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150207000187 | NC | Order and Referring Only - Oral Surgery | 2163747437 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3784 | NC | MD | Professional Counselor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Kannapolis, NC
- NPI 1336306471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750318911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 SLOOP AVE",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280832992",
"telephone_number": "704-933-2116",
"fax_number": "704-932-2195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 SLOOP AVE",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280832992",
"telephone_number": "704-933-2116",
"fax_number": "704-932-2195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "HENRY",
"middle_name": "D",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "3784",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8992238",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kannapolis, NC
- Jennifer Ann Drisker, LCSW-A
- Ann Busser Driver, LPC
- DRS. Johal, Dunning & Associates VI, P.a. (DentalWorks)
- Vestillia Shaunta Duggins
- Victoria Ann Hunter Dulin
- Alyssa Michelle Durpetti, MSW, LCSWA
- Dorenda Durr
- Michael Jemar Dyson, LCMHC-A, NCC, CCC
- Megan Campbell Easterday, MD
- Eckerd Corporation (Rite Aid Pharmacy 11449)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.