NPIMap

Organization Active NPI

Kegler and Associates Family Dentistry

  • General Practice Dentistry
  • Gainesville, GA
National Provider Identifier
1114182425
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN012376 Issued in GA
Legal business name
KEGLER AND ASSOCIATES FAMILY DENTISTRY
Practice address
592B Medical Park Dr
Gainesville, GA 30501-2055
Phone
(770) 536-6688
Fax
(770) 536-7070
NPI assigned
Jul 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Dr. Clarence Cornell Kegler II, DDS
Title
Owner
Phone
(770) 536-6688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN012376 GA Primary

Addresses

Primary practice location

592B Medical Park Dr
Gainesville, GA 30501-2055

Mailing address

592B Medical Park Dr
Gainesville, GA 30501-2055
Phone (770) 536-6688

National Provider Directory

National Provider Directory

Locations

592B Medical Park Dr
Gainesville, GA 30501
Phone (770) 536-6688

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1114182425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "592B MEDICAL PARK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012055",
            "telephone_number": "770-536-6688",
            "fax_number": "770-536-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592B MEDICAL PARK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012055",
            "telephone_number": "770-536-6688",
            "fax_number": "770-536-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEGLER AND ASSOCIATES FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "KEGLER",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "CORNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-536-6688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.

Verify at the official NPI Registry.