Delma H. Kinlaw, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4916 Issued in NC

Legal business name

DELMA H. KINLAW, DDS, PA

Practice address

251 Keisler Dr
Suite 200
Cary, NC 27511-7091

Phone

(919) 859-6633

Fax

(919) 859-6644

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Diana Severt Boddorf, RDH, MED.

Title

Practice Manager

Phone

(919) 859-6633

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770784183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 KEISLER DRIVE",
            "address_2": "SUITE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187091",
            "telephone_number": "919-859-6633",
            "fax_number": "919-859-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 KEISLER DR",
            "address_2": "SUITE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275117091",
            "telephone_number": "919-859-6633",
            "fax_number": "919-859-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMA H. KINLAW, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BODDORF",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "SEVERT",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "919-859-6633",
        "authorized_official_credential": "RDH, MED."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Elaine Deleone, LCMHCA
• Cameron Alyssa Delforge
• Nicole Marie Delgado-Jaecks, PHARM D.
• Michael Gerrard Delissio, M.D.
• Laurie Delk, MS, CNS, LN
• Abigail Marie Delucca, OTR/L
• Kira Delucia
• Casey Demarco
• Meghan Francesca Dematta, PA-C
• Hannah Demello, LCSWA

• General Practice Dentistry in Cary, NC
• Providers in Cary, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.