DR. KENNETH ALTON PEAVY


Address: 1400 Westgate Center Dr, Suite 204, Winston Salem, NC 27103-3104
Phone: 3367743001

DR. KENNETH ALTON PEAVY (NPI# 1447394556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447394556
Entity Type Individual
Full Name DR. KENNETH ALTON PEAVY
Credential D.M.D.
Practice Address 1400 Westgate Center Dr
Suite 204
Winston Salem
NC 27103-3104
Practice Telephone 3367743001
Practice Fax Number 3367749161
Mailing Telephone 3367743001
Mailing Fax Number 3367749161
Enumeration Date 2007-02-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
5876 NC Dental Providers

Office Location

Street Address 1400 WESTGATE CENTER DR
SUITE 204
City WINSTON SALEM
State NC
Zip Code 27103-3104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437696911 Jamie Deal Physician Assistant 1400 Westgate Center Dr, Suite 200, Winston Salem, NC 27103-3112 2017-01-23
1124499389 Barium Springs Home for Children Community/Behavioral Health 1400 Westgate Center Dr, Ste 100, Winston Salem, NC 27103-3112 2015-10-14
1235474701 Cornerstone Health Care Family Medicine 1400 Westgate Center Dr, Suite 140, Winston Salem, NC 27103-3112 2012-12-10
1205081197 Romi Meridith Farber Dentist 1400 Westgate Center Dr, Greentree Centre 1, Suite 208, Winston Salem, NC 27103-3104 2008-11-19
1790821320 Gayle Ann Barcio Dental Hygienist 1400 Westgate Center Dr, Suite 204, Winston Salem, NC 27103-3104 2007-01-30
1134147168 Robin Elaine Mcgurkin-smith Dentist 1400 Westgate Center Dr, Suite 208, Winston Salem, NC 27103 2006-07-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124648126 Kelly Anne Wales Pharmacist 3917-a Westpoint Boulevard, Winston-salem, NC 27103 2020-04-20
1386281533 Elena Mcginty Nurse Practitioner 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 2019-12-06
1992359442 Madeline Pryor Pharmacist 255 Charlois Drive, Winston Salem, NC 27103 2019-08-01
1215599584 Palmetto Oxygen LLC Durable Medical Equipment & Medical Supplies 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 2019-07-07
1548734718 Trivy Johnson Specialist 1384-b Westgate Center Dr., Winston Salem, NC 27103 2019-01-21
1447745047 Novant Health Rehabilitation Hospital of Winston-salem, LLC Rehabilitation Hospital 2475 Hillcrest Center Circle, Winston Salem, NC 27103 2018-06-26
1346740206 Joseph Miller Physical Therapist 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 2018-02-17
1548779101 Kristin Blow Counselor 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 2017-09-27
1891213443 Alisha Dawn Wilson Occupational Therapy Assistant 2101 Homestead Hills Drive, Winston Salem, NC 27103 2017-09-05
1588186969 Brandy Wilson Social Worker 153 Cameron Way Circle, Winston Salem, NC 27103 2017-07-07
Find all providers in zip 27103

Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669595484 Roger Reynolds IIi Dentist 3809 Forrestgate Dr Ste A, Winston Salem, NC 27103-2982 2007-04-08
1295860690 W. Mark Suttle, Dds, Ms, Pa Dentist 1617 S. Hawthorne Road, Winston Salem, NC 27103 2007-02-23
1780834457 Nicole R Wright Dentist 3809 Forrestgate Dr Ste A, Winston Salem, NC 27103-2982 2008-09-30
1194941807 William Mark Suttle Dentist 1617 S Hawthorne Rd, Winston Salem, NC 27103-4127 2007-04-18
1245456979 Dudley C. Chandler Jr. Dentist 1617 S Hawthorne Rd, Winston Salem, NC 27103-4127 2007-04-18
1710903711 William Carroll Broome Dentist 201 Charlois Blvd, Winston Salem, NC 27103-1507 2006-07-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023623113 Yoon Chi Dentist 385 S Columbia St Suite 123 Brauer Hall, Chapel Hill, NC 27599-7450 2020-09-15
1962044560 Riccobene & Associates Xxxvi, Dds, P.a. Dentist 2250 Shipyard Blvd Ste 14, Wilmington, NC 28403-8070 2019-10-15
1255985016 Farahnaz Fahimipour Dentist 123 Brauer Hall Department of Periodontology, Chapel Hill, NC 27599-0001 2019-07-30
1982257838 Amanda Finger Stadler Dentist Unc Adams School of Dentistry Brauer 140, Chapel Hill, NC 27599-0001 2019-07-19
1528542073 Sing Wai Wong Dentist 140 Dental Cir Chapel Hill Brauer Hall Room 123, Chapel Hill, NC 27599-7450 2018-09-20
1174030415 Craig Dorion Dds Mph Pa IIi Dentist 2310 Myron Dr Ste 100, Raleigh, NC 27607-3358 2018-01-09
1952824807 Vishal Gohel Dentist Department of Periodontology Unc School Of, Chapel Hill, NC 27599-0001 2017-07-24
1154709251 Lance Hutchens Dentist 1611 Doctors Cir, Wilmington, NC 28401 2015-05-11
1568853943 Mais Sweidan Dentist 123 Brauer Hl, Campus Box 7450, Chapel Hill, NC 27599-0001 2015-02-06
1316353956 Elizabeth Campbell Dentist 150 Providence Rd Ste 200, Chapel Hill, NC 27514-2208 2014-07-03
Find all providers with the same taxonomy

Competitor

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City WINSTON SALEM
Zip Code 27103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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