Kinny Xavier, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

37566 Issued in TX

Practice address

1809 Tulane Dr
Lufkin, TX 75901-5637

Phone

(936) 225-3544

NPI assigned

Jul 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Beautiful Dental PLLC

  • General Practice Dentistry
  • Lufkin, TX
  • NPI 1134774789
  NPD

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1083287882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 PARK HURST DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760015640",
            "telephone_number": "817-689-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 TULANE DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015637",
            "telephone_number": "936-225-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XAVIER",
        "first_name": "KINNY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Wood, LVN
• Zalleya Woods
• Wright Diabetes Education LLC
• Amy Nicholson Wright, RDN, LD, CDE
• Sonja Wyatt
• Chengye Xiang, DDS
• Kelly L Yarborough, PHARMD
• Scott Alexander Yarborough, PHARMD
• Bianca Yarbrough, FNP
• Sravya Yarlagadda

• Dentist in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.