Kevin Daniel Chidester, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13688 Issued in NC

Practice address

200 Cornerstone Dr Ste 200&203
Cary, NC 27519-8428

Phone

(435) 635-9471

NPI assigned

May 29, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kevin Chidester, D.M.D., P.L.L.C.

  • Dental Clinic/Center
  • Knightdale, NC
  • NPI 1255168282
  NPD Authorized official

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1992498844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 BETHWICKE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276044964",
            "telephone_number": "978-254-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CORNERSTONE DR STE 200&203",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198428",
            "telephone_number": "435-635-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIDESTER",
        "first_name": "KEVIN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-29",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "13421681-8903",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "13421681-9921",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicki Raquel Cherington
• Kalyaniben Chhasatiya, PHARMD
• Michelle Chiaramonte, LCSW
• Alexander Chiaramonti, M.D.
• Lainey Chiarizia, OTR
• Child'S Play Developmental Services, L.L.C.
• Zesta Shirelle Childers, PHYSICIAN ASSISTANT
• Adam Childs, PHARMD
• Anja Chillemi, MOT, OTR/L
• Iheoma Chimezie

• General Practice Dentistry in Cary, NC
• Providers in Cary, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.