Active NPI
Kingsburg Family Dental
- General Practice Dentistry
- Kingsburg, CA
National Provider Identifier
1104074400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- KINGSBURG FAMILY DENTAL
- Practice address
- 1064 Lewis St
Kingsburg, CA 93631 - Phone
- (559) 897-2600
- Fax
- (559) 897-2622
- NPI assigned
- Aug 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Verock Sean Ky, D.D.S.
- Title
- General Dentist
- Phone
- (559) 897-2600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1064 Lewis St
Kingsburg, CA 93631
Mailing address
1064 Lewis St
Kingsburg, CA 93631
Phone (559) 897-2600
National Provider Directory
National Provider DirectoryLocations
1064 Lewis St
Kingsburg, CA 93631
Phone (559) 897-2600
Practitioners & affiliated clinicians
Practitioners 3
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": "1219968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264550400000",
"number": "1104074400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1064 LEWIS ST",
"city": "KINGSBURG",
"state": "CA",
"postal_code": "93631",
"telephone_number": "559-897-2600",
"fax_number": "559-897-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1064 LEWIS ST",
"city": "KINGSBURG",
"state": "CA",
"postal_code": "93631",
"telephone_number": "559-897-2600",
"fax_number": "559-897-2622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINGSBURG FAMILY DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-29",
"last_updated": "2010-01-27",
"status": "A",
"authorized_official_last_name": "KY",
"authorized_official_first_name": "VEROCK",
"authorized_official_middle_name": "SEAN",
"authorized_official_title_or_position": "GENERAL DENTIST",
"authorized_official_telephone_number": "559-897-2600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsburg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.