Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Kerry P Cogburn, D.D.S. P.A.

General Practice Dentistry in Clyde, NC · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063441616

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Registry record

Entity type Individual (Type 1)

Name Dr. Kerry P Cogburn

Credential D.D.S. P.A.

Sex Male

Practice address Clyde, NC, 28721

Phone (828) 627-9285

Fax (828) 627-9287

Enumeration date Jul 3, 2006

Last updated in NPPES Jul 8, 2007

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1223G0001X General Practice Dentistry Dental Providers · License 3906 (NC) Primary

Other identifiers

Identifier	Type	State	Issuer
8991701	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Kerry Cogburn's NPI record?

Cross-check NPI 1063441616 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1063441616 active?

Yes, as of the latest NPPES snapshot, NPI 1063441616 is active (record last updated 2007-07-08).

Other providers at this practice address

Browse all →

Kerry P. Cogburn, DDS, PA General Practice Dentistry · Clyde, NC NPI 1952574261 Teague & Van Praag, DDS, Pllc Dentist · Clyde, NC NPI 1194114132 Kathryn L. Conard, DDS, Ms, Pllc Dentist · Clyde, NC NPI 1578470001

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.