Maurine Muthoni Kingori

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30025661 Issued in OH

Practice address

8260 Springboro Pike
Miamisburg, OH 45342-3707

Phone

(937) 434-1708

NPI assigned

May 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• Dental Services of Ohio

  dba ImmediaDent

  • Dentist
  • Miamisburg, OH
  • NPI 1043359367
  NPD (past)

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552089600000",
    "number": "1437648029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT OF MEDICAL EDUCATION: MIAMI VALLEY HOSPITAL",
            "address_2": "1 WYOMING STREET",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45409",
            "telephone_number": "937-208-3844",
            "fax_number": "937-208-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 SPRINGBORO PIKE",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423707",
            "telephone_number": "937-434-1708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 E North St Unit 603",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462023534",
            "country_code": "US",
            "telephone_number": "937-208-3844",
            "fax_number": "937-208-5393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINGORI",
        "first_name": "MAURINE",
        "middle_name": "MUTHONI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2019-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30025661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Kibby
• Seth T Kidwell, MSN, FNP-BC
• Sandra L Kimball, CNP
• Andrea Marie Kimmel
• Amy Marie King
• Kingston of Miamisburg, LLC (Kingston Of Miamisburg)
• Linda Lou Kintz, MD
• Audrey Kinzig, RBT
• Kyle Kirby, PA-C
• Micheal L Kitzmiller

• General Practice Dentistry in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2019; 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.

Verify at the official NPI Registry.