NPIMap

Organization Active NPI

Dr. Kent S. Denton

  • General Practice Dentistry
  • La Grange, NC
National Provider Identifier
1902083876
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3438 Issued in NC
Legal business name
DR. KENT S. DENTON
Practice address
515 S Caswell St
La Grange, NC 28551-2005
Phone
(252) 566-9616
Fax
(252) 566-4910
NPI assigned
Jan 23, 2008
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Dr. Kent Swindell Denton, D.D.S
Title
Owner
Phone
(252) 566-9616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3438 NC Primary

Addresses

Primary practice location

515 S Caswell St
La Grange, NC 28551-2005

Mailing address

PO Box 8
La Grange, NC 28551-0008
Phone (252) 566-9616

Other identifiers 3

IdentifierTypeStateIssuer
92125OtherBLUE CROSS BLUE SHIELD
816475OtherUNITED CONCORDIA
8992125MedicaidNC

National Provider Directory

National Provider Directory

Locations

515 S Caswell St
La Grange, NC 28551
Phone (252) 566-9616

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1902083876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "LA GRANGE",
            "state": "NC",
            "postal_code": "285510008",
            "telephone_number": "252-566-9616",
            "fax_number": "252-566-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S CASWELL ST",
            "city": "LA GRANGE",
            "state": "NC",
            "postal_code": "285512005",
            "telephone_number": "252-566-9616",
            "fax_number": "252-566-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KENT S. DENTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "DENTON",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "SWINDELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-566-9616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "92125",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "816475",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8992125",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.