Active NPI
Jason Lee Kiggins, DMD
- Dentist
- Conway, SC
National Provider Identifier
1063661403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3421
- Practice address
- 1070 Highway 501 Business
Conway, SC 29526-9588 - Phone
- (843) 347-2273
- Fax
- (843) 347-4920
- NPI assigned
- Sep 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3421 | SC | Primary |
Addresses
Primary practice location
1070 Highway 501 Business
Conway, SC 29526-9588
Mailing address
1070 Highway 501 Business
Conway, SC 29526-9588
Phone (843) 347-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Farrar Collins Daubenspeck & Kiggins | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Conway, SC
- NPI 1871666958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221004800000",
"number": "1063661403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 HIGHWAY 501 BUSINESS",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269588",
"telephone_number": "843-347-2273",
"fax_number": "843-347-4920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 HIGHWAY 501 BUSINESS",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269588",
"telephone_number": "843-347-2273",
"fax_number": "843-347-4920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIGGINS",
"first_name": "JASON",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-10",
"last_updated": "2008-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "3421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.