Kai Alexander Standifer

Individual provider Active NPI Dentist · Mills River, NC

NPI 1831909415 · NPPES record last updated Jun 3, 2026

Key facts

NPI
1831909415
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
14194 (NC)
Practice address
2432 Jeffress Rd
Mills River, NC 28759-3865
Phone
(828) 501-9453
NPI assigned
Jan 7, 2025
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University Dentist Current
since Jan 12, 2025
Accepting new patients

Locations

179 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-0110

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP
122300000X 14194 NC Yes

Addresses

Primary practice location

2432 Jeffress Rd
Mills River, NC 28759-3865

Mailing address

14 Leighton CT
Simpsonville, SC 29680-7049

Other providers in Mills River, NC

All providers in Mills River, NC · Dentist in North Carolina

Sources for this page

Verify at the official NPI Registry.