KINSTON COMMUNITY HEALTH CENTER, INC (NPI# 1487799730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487799730 |
| Entity Type | Organization |
| Organization Name | KINSTON COMMUNITY HEALTH CENTER, INC |
| Practice Address |
324 N Queen St Kinston NC 28501-4932 |
| Mailing Address |
Po Box 2278 Kinston NC 28502-2278 |
| Practice Telephone | 2525229800 |
| Practice Fax Number | 2525239790 |
| Mailing Telephone | 2525229800 |
| Mailing Fax Number | 2525229854 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2019-02-28 |
| Authorized Official Name | MRS. DARLENE H ENNETT (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2525229800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 344575D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104859313 | Kinston Community Health Center, Inc | Clinic/Center | 324 N Queen Street, Kinston, NC 28501-4932 | 2006-07-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KINSTON COMMUNITY HEALTH CENTER, INCORPORATED | 324 N Queen St, Kinston, NC 28501-4932 |
| Street Address |
324 N QUEEN ST |
| City | KINSTON |
| State | NC |
| Zip Code | 28501-4932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063499861 | Michael B King | Internal Medicine | 324 N Queen St, Kinston, NC 28501-4932 | 2005-12-22 |
| 1215579602 | Carlos E Jimenez | Nurse Practitioner | 324 N Queen St, Kinston, NC 28501-4932 | 2019-10-17 |
| 1184183907 | Charity Sellers | Registered Nurse | 324 N Queen St, Kinston, NC 28501-4932 | 2019-03-19 |
| 1326539446 | Sandra Jeanne Lott | Nurse Practitioner | 324 N Queen St, Kinston, NC 28501-4932 | 2018-05-24 |
| 1548769110 | Ashley Jones Faulkner | Nurse Practitioner | 324 N Queen St, Kinston, NC 28501-4932 | 2018-02-08 |
| 1992259006 | Monica Campbell-nelson | Nurse Practitioner | 324 N Queen St, Kinston, NC 28501-4932 | 2016-08-05 |
| 1881041176 | Tambetta Ojong | Family Medicine | 324 N Queen St, Kinston, NC 28501-4932 | 2016-05-17 |
| 1851774020 | Rekita Williams | Nurse Practitioner | 324 N Queen St, Kinston, NC 28501-4932 | 2015-07-07 |
| 1437574399 | Tammy Song | Social Worker | 324 N Queen St, Kinston, NC 28501-4932 | 2014-02-28 |
| 1588095137 | Robin Ashley Hackmann Leib | Nurse Practitioner | 324 N Queen St, Kinston, NC 28501-4932 | 2013-12-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912428780 | Latasha Carr | Counselor | 120 Lenoir Str, B, Kinston, NC 28501 | 2017-07-03 |
| 1598295107 | Craig A Marva | Dentist | 1104 West Vernon Ave., Kinston, NC 28501 | 2017-06-15 |
| 1235535238 | Rachel Krueger | Pharmacist | 201 West Vernon Ave, Kinston, NC 28501 | 2014-11-18 |
| 1457773020 | Abigail L Hemmings | Physician Assistant | 2509 North Queen Street, Kinston, NC 28501 | 2014-01-15 |
| 1730521063 | Courtney Mitchell Iv | Dentist | 2500 N Herritage St., Suite A, Kinston, NC 28501 | 2013-07-29 |
| 1023459757 | Courtney Mitchell, IIi Dds Pa | Dentist | 2500 N. Herritage St., Suite A, Kinsten, NC 28501 | 2013-07-10 |
| 1558609602 | Jessica Meria Hendricks | Counselor | 400 Glenwood Ave Ste 2, Kinston, NC 28501 | 2013-01-24 |
| 1871853523 | Bethany Mckittrick Griffin | Pharmacist | 300 North Queen Street, Kinston, NC 28501 | 2012-05-29 |
| 1750647574 | Peter K Hobler | Counselor | 2902 N. Heritage Street, Kinston, NC 28501 | 2012-04-05 |
| 1568732154 | Michael Dion Smallwood | Counselor | 2902 A North Heritage St, Kinston, NC 28501 | 2012-01-12 |
| Find all providers in zip 28501 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386257822 | Nirjal Patel, Dmd, P.a. | Dentist | 1400 Industrial Dr, Kinston, NC 28504-4500 | 2020-08-25 |
| 1598295107 | Craig A Marva | Dentist | 1104 West Vernon Ave., Kinston, NC 28501 | 2017-06-15 |
| 1912204595 | Robin Edwards, Dds, P.a. | Dentist | 4990 Hwy 70 W, Kinston, NC 28504-7514 | 2011-02-17 |
| 1942325105 | Richard Todd Carlyle | Dentist | 206 Airport Rd, Kinston, NC 28504 | 2007-03-20 |
| 1750823118 | Scott B Matthews Dds Pa | Dentist | 306 Darby Ave, Kinston, NC 28501-1630 | 2016-11-15 |
| 1326591256 | Kendall A Mitchell Dds Pllc | Dentist | 400 Glenwood Ave, Kinston, NC 28501-3870 | 2016-07-27 |
| 1205197712 | Mackenzie Payne Brown | Dentist | 801 Plaza Blvd, Kinston, NC 28501-2143 | 2012-05-31 |
| 1962534180 | Joseph Vincent Stark | Dentist | 801 Plaza Blvd, Kinston, NC 28501-2143 | 2007-03-12 |
| 1649374158 | Emilio Naval Marty | Dentist | 324 N Queen St, Kinston, NC 28501-4932 | 2006-09-13 |
| 1770591943 | Ana Vazquez | Dentist | 324 N Queen St, Kinston, NC 28501-4932 | 2006-08-04 |
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| 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.