Samuel Robert Kiner, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30016673 Issued in OH

Practice address

121 Broadway E
Granville, OH 43023-1303

Phone

(740) 587-4891

Fax

(740) 587-0198

NPI assigned

Nov 17, 2006

Sex

Male

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)

Enrolled

State licenses

Practice roles

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.

• Granville Dental - M.Alexandrunas, D.M.D., Inc.

  • General Practice Dentistry
  • Granville, OH
  • NPI 1508294984
  NPD (past)
• Granville Dental Mark Alexandrunas DMD Inc

  • General Practice Dentistry
  • Granville, OH
  • NPI 1912180571
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1164596623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 STRATHAVEN DR N",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430851902",
            "telephone_number": "614-561-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BROADWAY E",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430231303",
            "telephone_number": "740-587-4891",
            "fax_number": "740-587-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINER",
        "first_name": "SAMUEL",
        "middle_name": "ROBERT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30016673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart James Kanter, DO
• Karen H Berdan
• Zachary Aaron Kelm, DO
• Aaron J Kibler, MD
• Peter S Kim, MD
• Kortni Talyor Kirtner
• Jenavieve Rose Kirwin
• Amy J Klinger, CNP
• Amy Knisley
• Krothapalli Dental Group Granville LLC

• Dentist in Granville, OH
• Providers in Granville, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.