Organization Active NPI

J. Jeff Kincaid, DMD, Ms

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Roswell, GA
National Provider Identifier
1881801447
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN010224 Issued in GA
Legal business name
J. JEFF KINCAID, DMD, MS
Practice address
540 W Crossville Rd
Suite 205
Roswell, GA 30075-2506
Phone
(770) 518-5180
Fax
(770) 518-5184
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph Jeffrey Kincaid, D.M.D., M.S.
Title
Doctor
Phone
(770) 518-5180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DN010224 GA Primary

Addresses

Primary practice location

540 W Crossville Rd
Suite 205
Roswell, GA 30075-2506

Mailing address

540 W Crossville Rd
Suite 205
Roswell, GA 30075-2506
Phone (770) 518-5180

National Provider Directory

National Provider Directory
Tax ID family
J Jeff Kincaid DMD Ms2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

540 W Crossville Rd
Ste 205
Roswell, GA 30075
Phone (770) 518-5180

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881801447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W CROSSVILLE RD",
            "address_2": "SUITE 205",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752506",
            "telephone_number": "770-518-5180",
            "fax_number": "770-518-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W CROSSVILLE RD",
            "address_2": "SUITE 205",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752506",
            "telephone_number": "770-518-5180",
            "fax_number": "770-518-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. JEFF KINCAID, DMD, MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KINCAID",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "770-518-5180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN010224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • 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.