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Kai Alexander Standifer

Dentist in Mills River, NC. Individual provider (NPI-1).

NPI number1831909415
StatusActive
Last updated in NPPESJun 3, 2026

Details

NPI
1831909415
Entity type
Individual (NPI-1)
Name
Kai Alexander Standifer
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 7, 2025
Certification date
Jun 3, 2026
Last updated
Jun 3, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist14194NCYes

Practice location

2432 Jeffress Rd
Mills River, NC 28759-3865

Phone 828-501-9453

Mailing address

14 Leighton Ct
Simpsonville, SC 29680-7049

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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