Organization Active NPI

Kyger Dental Associates Inc

  • Dentist
  • Gallipolis, OH
National Provider Identifier
1063959864
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30015773 Issued in OH
Legal business name
KYGER DENTAL ASSOCIATES INC
Practice address
878 Jackson Pike
Gallipolis, OH 45631-1391
Phone
(740) 446-7806
Fax
(740) 446-4840
NPI assigned
Jan 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Timothy Virgil Kyger, D.D.S.
Title
Owner
Phone
(740) 446-7806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30015773 OH Primary

Addresses

Primary practice location

878 Jackson Pike
Gallipolis, OH 45631-1391

Mailing address

878 Jackson Pike
Gallipolis, OH 45631-1391
Phone (740) 446-7806

Other identifiers 2

IdentifierTypeStateIssuer
010551336OtherOHTAX ID
010551367OtherOHTAX ID

National Provider Directory

National Provider Directory

Locations

878 Jackson Pike
Gallipolis, OH 45631
Phone (740) 446-7806

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1063959864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 JACKSON PIKE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311391",
            "telephone_number": "740-446-7806",
            "fax_number": "740-446-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 JACKSON PIKE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311391",
            "telephone_number": "740-446-7806",
            "fax_number": "740-446-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYGER DENTAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "KYGER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "VIRGIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-446-7806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30015773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "010551336",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "010551367",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallipolis, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.