Organization Active NPI

Dan Kaylor

  • Preferred Provider Organization
  • College Place, WA
National Provider Identifier
1063967537
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
DE00005718 Issued in WA
Legal business name
DAN KAYLOR
Doing business as
dan kaylor
Practice address
100 N College Ave
College Place, WA 99324-1015
Phone
(509) 525-4177
NPI assigned
Aug 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Dan Wesley Kaylor
Title
Owner/Dentist
Phone
(509) 525-4177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X DE00005718 WA Primary

Addresses

Primary practice location

100 N College Ave
College Place, WA 99324-1015

Mailing address

100 N College Ave
College Place, WA 99324-1015
Phone (509) 525-4177

Other names 1

  • dan kaylor Doing business as

National Provider Directory

National Provider Directory

Locations

100 N College Ave
College Place, WA 99324
Phone (509) 525-4177

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": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1063967537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N COLLEGE AVE",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241015",
            "telephone_number": "509-525-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N COLLEGE AVE",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241015",
            "telephone_number": "509-525-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN KAYLOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "KAYLOR",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "509-525-4177"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "DE00005718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dan kaylor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.