Organization Active NPI

Afinia Dental-Killgore Eastgate Inc

Doing business as Afinia Dental

  • General Practice Dentistry
  • Cincinnati, OH
National Provider Identifier
1447559588
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFINIA DENTAL-KILLGORE EASTGATE INC
Doing business as
Afinia Dental
Practice address
792 Eastgate South Dr
Suite 250
Cincinnati, OH 45245-1592
Phone
(513) 777-9117
NPI assigned
Mar 15, 2011
Last updated
Mar 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Dr. Andrew Michael Killgore, DMD
Title
Owner
Phone
(513) 739-9117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

792 Eastgate South Dr
Suite 250
Cincinnati, OH 45245-1592

Mailing address

792 Eastgate South Dr
Suite 250
Cincinnati, OH 45245-1592
Phone (513) 777-9117

Other names 1

  • Afinia Dental Doing business as

National Provider Directory

National Provider Directory

Locations

792 Eastgate South Dr
Ste 250
Cincinnati, OH 45245
Phone (513) 746-8228

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1447559588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 EASTGATE SOUTH DR",
            "address_2": "SUITE 250",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451592",
            "telephone_number": "513-777-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 EASTGATE SOUTH DR",
            "address_2": "SUITE 250",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451592",
            "telephone_number": "513-777-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFINIA DENTAL-KILLGORE EASTGATE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "KILLGORE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-739-9117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Afinia Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.