Organization Active NPI

Darnell Kaigler D D S P C

  • Periodontics
  • Detroit, MI
National Provider Identifier
1356577498
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2901018534 Issued in MI
Legal business name
DARNELL KAIGLER D D S P C
Practice address
2671 W Grand Blvd
Detroit, MI 48208-1203
Phone
(313) 871-0436
Fax
(313) 871-4807
NPI assigned
Jun 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Dr. Darnell Kaigler Jr., D.D.S,M.S.,PH.D
Title
Periodontist
Phone
(313) 871-0436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 2901018534 MI Primary

Addresses

Primary practice location

2671 W Grand Blvd
Detroit, MI 48208-1203

Mailing address

2671 W Grand Blvd
Detroit, MI 48208
Phone (313) 871-0436

Other identifiers 4

IdentifierTypeStateIssuer
1073578498OtherMINPI
1366544462OtherMINPI
1427149863OtherMINPI
1093770414OtherMINPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1356577498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48208",
            "telephone_number": "313-871-0436",
            "fax_number": "313-871-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2671 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081203",
            "telephone_number": "313-871-0436",
            "fax_number": "313-871-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARNELL KAIGLER D D S P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "KAIGLER",
        "authorized_official_first_name": "DARNELL",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "313-871-0436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S,M.S.,PH.D"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "2901018534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1073578498",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366544462",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427149863",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093770414",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

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

Verify at the official NPI Registry.