Kevin Joseph Showfety, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4810 Issued in NC

Practice address

1607 Old Concord Road
Salisbury, NC 28146-1354

Phone

(704) 636-9518

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305244800000",
    "number": "1780695460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 OLD CONCORD ROAD",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281461354",
            "telephone_number": "704-636-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 OLD CONCORD ROAD",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281461354",
            "telephone_number": "704-636-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOWFETY",
        "first_name": "KEVIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "NC 4810",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "4810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8997788",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jody P Shivey, OT
• Catherine B. Shoe, PT
• Sarah Leann-Grace Shoffner
• Rebecca Shomo, MLA, LAT, ATC
• Shannon Gantt Shore, LCSW
• Sacheen Shrestha, M.D.
• Robert Desmond Shura, PSY.D.
• M Yousuf Siddiqui, M.D.
• Amie Thoburn Sides, MS SLP
• Joseph I Sie, O.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.