Denis Charles Kingsley, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

006747 Issued in NY

Practice address

447 East Water Street
Elmira, NY 14901-3410

Phone

(607) 733-3631

Fax

(607) 733-5432

NPI assigned

Sep 21, 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• William E. Clack M.D.

  • Specialist
  • Elmira, NY
  • NPI 1427217090
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1366540387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 EAST WATER STREET",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013410",
            "telephone_number": "607-733-3631",
            "fax_number": "607-733-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 EAST WATER STREET",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013410",
            "telephone_number": "607-733-3631",
            "fax_number": "607-733-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSLEY",
        "first_name": "DENIS",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "006747",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00359366",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cory David Kilpatrick, D.P.M.
• Taylor Kilpatrick, OTR/L
• Alexis Yvonne King
• Benjamin King, DO
• Lisa Michelle King, PT
• Makala Kinnicutt
• Jennifer Kintz-Smith, HYGENIST
• Stacy Lee Kittner, BS
• Mary Ann Klee, RPH
• Richard Louis Klee, PHARMACIST

• Physician Assistant in Elmira, NY
• Providers in Elmira, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.