Organization Active NPI

Kevin L Golden DMD PLLC

  • General Practice Dentistry
  • Concord, NC
National Provider Identifier
1902593205
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KEVIN L GOLDEN DMD PLLC
Practice address
5965 Thunder Rd
Ste C
Concord, NC 28027
Phone
(704) 610-8444
NPI assigned
Apr 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Kevin L Golden, DMDNPI 1467023622
Title
Owner Dentist
Phone
(770) 689-8150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5965 Thunder Rd
Ste C
Concord, NC 28027

Mailing address

5965 Thunder Rd
Ste C
Concord, NC 28027
Phone (704) 610-8444

National Provider Directory

National Provider Directory

Locations

5965 Thunder Rd
Ste C
Concord, NC 28027
Phone (704) 610-8444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1902593205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 THUNDER RD",
            "address_2": "STE C",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "28027",
            "telephone_number": "704-610-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 THUNDER RD",
            "address_2": "STE C",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "28027",
            "telephone_number": "704-610-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN L GOLDEN DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "770-689-8150",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.