Active NPI
Kenneth Kyger, DDS
- Dentist
- Gallipolis, OH
National Provider Identifier
1205859899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30015918
- Practice address
- 205 2ND Ave
Gallipolis, OH 45631-1021 - Phone
- (740) 441-1300
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 30015918 | OH | Primary |
Addresses
Primary practice location
205 2ND Ave
Gallipolis, OH 45631-1021
Mailing address
205 2ND Ave
Gallipolis, OH 45631-1021
Phone (740) 441-1300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30015918 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205859899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 2ND AVE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311021",
"telephone_number": "740-441-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 2ND AVE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311021",
"telephone_number": "740-441-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYGER",
"first_name": "KENNETH",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30015918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gallipolis, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.