DR. KENNON CHARLES WEEKS (NPI# 1164615050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164615050 |
Entity Type | Individual |
Full Name | DR. KENNON CHARLES WEEKS |
Credential | D.D.S. |
Practice Address |
2415 W Vernon Ave Caswell Center Kinston NC 28504-3337 |
Practice Telephone | 2522084074 |
Practice Fax Number | 2522084080 |
Mailing Telephone | 2522084074 |
Mailing Fax Number | 2522084080 |
Enumeration Date | 2007-08-23 |
Last Update Date | 2007-08-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
4547 | NC | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | U42878 | 05 |
Street Address |
2415 W VERNON AVE CASWELL CENTER |
City | KINSTON |
State | NC |
Zip Code | 28504-3337 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326126053 | Ritchie Murdock Applewhite | Pharmacist | 2415 W Vernon Ave, Kinston, NC 28504-3337 | 2006-11-01 |
1639396492 | Caswell Developmental Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2415 W Vernon Ave, Kinston, NC 28504 | 2007-04-20 |
1457578213 | Caswell Developmental Center | Intermediate Care Facility, Mentally Retarded | 2415 W Vernon Ave, Kinston, NC 28504 | 2007-04-20 |
1093851891 | Hoover Mcgy Royals Jr. | Family Medicine | 2415 W Vernon Ave, Kinston, NC 28504-3337 | 2007-01-29 |
1457403909 | Karen Rene Heath | Pharmacy Technician | 2415 W Vernon Ave, Kinston, NC 28504-3337 | 2007-01-17 |
1730246562 | Caswell Center | Pharmacy | 2415 W Vernon Ave, Kinston, NC 28504-3337 | 2007-01-02 |
1649344672 | Becky Odham Berry | Pharmacist | 2415 W Vernon Ave, Kinston, NC 28504-3337 | 2006-11-20 |
1598843864 | Feletia Smith Lockhart | Pharmacy Technician | 2415 W Vernon Ave, Kinston, NC 28504-3337 | 2006-11-02 |
1679651962 | Ellen W Lancaster | Pharmacist | 2415 W Vernon Ave, Kinston, NC 28504-3337 | 2006-11-02 |
1902984214 | Larue Grady | Pharmacist | 2415 W Vernon Ave, Kinston, NC 28504-3337 | 2006-11-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437647385 | Kinston Clinic Pharmacy Inc | Pharmacy | 2717 Nc Hwy 11 South, Kinston, NC 28504 | 2018-04-26 |
1316336241 | Jo Jackson | Developmental Therapist | 137 Norma Drive, Kinston, NC 28504 | 2015-01-15 |
1700105160 | Stephanie Price Jones | Dietitian, Registered | 1457 Elijah Loftin Rd, Kinston, NC 28504 | 2010-05-25 |
1093045783 | Patricia Ann Dodd | Chiropractor | 4010 W. Vernon Ave., Kinston, NC 28504 | 2010-01-03 |
1861626723 | Eastpoint Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 310 Airport Rd, Kinston, NC 28504 | 2009-05-07 |
1174705081 | Vernon Sy Chiu | Internal Medicine | 608-a Airport Road, Kinston, NC 28504 | 2007-12-03 |
1235326943 | Jennifer M Shenk | Optometrist | 703 Rosanne Drive, Kinston, NC 28504 | 2007-09-26 |
1760678478 | Classic Country Care Inc | Assisted Living Facility | 288 Hwy 11 S, Kinston, NC 28504 | 2007-09-18 |
1528271632 | Andrew Jackson Harrell IIi | Dentist | 315 Airport Road, Kinston, NC 28504 | 2007-05-07 |
1316161045 | Joshua House | Pharmacy Technician | 2415 West Vernon Ave., Kinston, NC 28504 | 2007-04-12 |
Find all providers in zip 28504 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730521063 | Courtney Mitchell Iv | Dentist | 2500 N Herritage St., Suite A, Kinston, NC 28501 | 2013-07-29 |
1558698001 | William S. Harvey IIi, Dds Pllc | Dentist | 801 Plaza Blvd, Kinston, NC 28501-2143 | 2009-11-04 |
1194867002 | Disdier & Associates, Pa | Dentist | 1001b Hardee Rd, Kinston, NC 28504-3323 | 2007-02-14 |
1235207606 | Johnson & Perry, Dds, Pllc | Dentist | 208 Glenwood Ave, Kinston, NC 28501-3842 | 2006-12-01 |
1659444958 | Tommie Harold Lancaster | Dentist | Suite 812 A Vernon Park Mall, Kinston, NC 28504 | 2006-11-16 |
1144399841 | Courtney Mitchell IIi | Dentist | 2500 North Herritage St, Kinston, NC 28501 | 2006-11-07 |
1013022243 | Lynwood C Turner | Dentist | 1104 W Vernon Ave, Kinston, NC 28501-3616 | 2006-08-20 |
1205949187 | Kenneth Aric Meeker | Dentist | 512 Plaza Blvd, Kinston, NC 28501 | 2006-08-16 |
1073534475 | Scott Butler Matthews | Dentist | 306 Darby Ave, Kinston, NC 28501-1630 | 2006-07-21 |
1205866019 | Steven Allen Fertig | Dentist | 4990 Us Highway 70 W, Kinston, NC 28504-7514 | 2006-07-04 |
Find all providers in KINSTON |
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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.