Individual provider Active NPI

Ken Fritz Budde, D.D.S.

  • General Practice Dentistry
  • Kill Devil Hills, NC
National Provider Identifier
1801860358
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5433 Issued in NC
Practice address
3118 N Croatan Hwy
Suite 102
Kill Devil Hills, NC 27948-9254
Phone
(252) 441-5811
Fax
(252) 441-2233
NPI assigned
Feb 13, 2006
Last updated
May 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5433 NC Primary

Addresses

Primary practice location

3118 N Croatan Hwy
Suite 102
Kill Devil Hills, NC 27948-9254

Mailing address

PO Box 180
Kill Devil Hills, NC 27948-0180
Phone (252) 441-5811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Steven M. Doering DMD, PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1801860358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279480180",
            "telephone_number": "252-441-5811",
            "fax_number": "252-441-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 N CROATAN HWY",
            "address_2": "SUITE 102",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279489254",
            "telephone_number": "252-441-5811",
            "fax_number": "252-441-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDDE",
        "first_name": "KEN",
        "middle_name": "FRITZ",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kill Devil Hills, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.