Active NPI
Robert Marvin Kikel, D.D.S
- Dentist
- Colquitt, GA
National Provider Identifier
1114967395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9443
- Practice address
- 505 N Cuthbert St
Colquitt, GA 39837-3511 - Phone
- (229) 758-2127
- Fax
- (229) 758-5889
- NPI assigned
- Jun 7, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9443 | GA | Primary |
Addresses
Primary practice location
505 N Cuthbert St
Colquitt, GA 39837-3511
Mailing address
505 N Cuthbert St
P.O. Box 505
Colquitt, GA 39837-3511
Phone (229) 758-2127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150309001884 | GA | Order and Referring Only - Oral Surgery | 5496071508 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9443 | GA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114967395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 N CUTHBERT ST",
"address_2": "P.O. BOX 505",
"city": "COLQUITT",
"state": "GA",
"postal_code": "398373511",
"telephone_number": "229-758-2127",
"fax_number": "229-758-5889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 N CUTHBERT ST",
"city": "COLQUITT",
"state": "GA",
"postal_code": "398373511",
"telephone_number": "229-758-2127",
"fax_number": "229-758-5889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIKEL",
"first_name": "ROBERT",
"middle_name": "MARVIN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "9443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colquitt, GA
- Hope Cottage Family Healthcare, LLC
- Lindsey Clearman Houston, SPL
- Ugo Alexis Ireh, MD
- Amanda Jackson, CRNA
- Edgar Lowell Justice, MD
- Virginia Kirkland, RD, LD, CECES
- Robert Anson Lane, DMD
- Lane's Pharmacy & DME Inc (Lanes Medical Shoppe)
- Lanes-DME, Inc. (Lanes Medical Shoppe)
- Loving Care Personal Care Home
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.