Laura K. Kincannon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27950 Issued in TX

Practice address

907 S. Columbia Dr.
West Columbia, TX 77486

Phone

(979) 345-5135

NPI assigned

Jul 11, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Laura Katherine Roberts Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1982969242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 S. COLUMBIA DR.",
            "city": "WEST COLUMBIA",
            "state": "TX",
            "postal_code": "77486",
            "telephone_number": "979-345-1451",
            "fax_number": "979-345-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 S. COLUMBIA DR.",
            "city": "WEST COLUMBIA",
            "state": "TX",
            "postal_code": "77486",
            "telephone_number": "979-345-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCANNON",
        "first_name": "LAURA",
        "middle_name": "K.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "ROBERTS",
            "middle_name": "KATHERINE",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Randy De'Shon Hightower
• Angela Elizabeth Hughes, PHARM.D.
• Jared Lyn Huvar, D.D.S.
• Jared Huvar Family and Cosmetic Dentistry
• Tony Wayne Kelsoe, DC
• Krenek Chiropractic
• Krenek Chiropractic
• David Shane Krenek, DC
• Laura K. Kincannon, DDS, PLLC
• Roy L Ledbetter, DDS

• General Practice Dentistry in West Columbia, TX
• Providers in West Columbia, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.