KONG PENG LOR
NPI 1811686579
Dentist - General Practice in Bakersville, NC

Q: What is Kong Lor's NPI number?

The NPI number for Kong Lor is 1811686579. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Q: What is Kong Lor's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kong Lor was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 08, 2023PECOS Enrolled

89 N MITCHELL AVE, BAKERSVILLE, NC 28705(828) 537-5991(732) 393-8492 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2025, May 8, 2023 (2 updates tracked since 2023).

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About Kong Peng Lor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KONG PENG LOR (NPI 1811686579) is an individual general practice provider in Bakersville, North Carolina, licensed in North Carolina (14276) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of East Carolina University School Of Dentistry (2025).

NPPES Registry Identity

NPI1811686579

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameKONG PENG LOR

Location Address89 N MITCHELL AVEBakersville, NC 28705-6502

Mailing Address86 N Mitchell AveBakersville, NC 28705-6502 · (828) 688-2104

Phone(828) 537-5991

Fax(732) 393-8492

Sole ProprietorNo

Medical School CMSEast Carolina University School Of DentistryGraduated 2025

Enumeration DateMay 8, 2023

Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration

NPPES CertifiedJune 11, 2025

✔ NPI 1811686579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NC · 14276

Definition

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

89 N MITCHELL AVE, Bakersville, NC 28705

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, Delta Dental of North Carolina.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kong Peng Lor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274036157

PECOS Enrollment IDI20250915003485

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGUERITE MARIE VAN DER VORST

Dentist (General Practice)

89 N MITCHELL AVE
BAKERSVILLE, NC 28705

Mitchell County (828) 537-5991

MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED

Clinic/Center (Federally Qualified Health Center (FQHC))

89 N MITCHELL AVE
BAKERSVILLE, NC 28705

Mitchell County (828) 688-2104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kong Lor's NPI number?

The NPI number for Kong Lor is 1811686579. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Where is Kong Lor located?

Kong Lor practices at 89 N Mitchell Ave, Bakersville, NC 28705. The listed phone number is (828) 537-5991.

What is Kong Lor's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kong Lor enrolled in Medicare?

Yes. Kong Lor is registered in the Medicare PECOS enrollment system.

What insurance does Kong Lor accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC and Delta Dental of North Carolina list Kong Lor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kong Lor was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.