Zachary Ryan Kingsberg, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

31166 Issued in TX

Practice address

565 W Oates Rd Ste 150
Garland, TX 75043-5462

Phone

(214) 473-5696

Fax

(214) 602-5491

NPI assigned

Jul 7, 2015

Last updated

Dec 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 14, 2016 through May 14, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arts Family Dentistry PLLC

  dba Arts Family Dentistry

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1962166363
  NPD Authorized official
• King Dental Partners PLLC

  dba Casper Family Dentistry of Dallas

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1134998941
  NPD Authorized official
• RFD Family Dentistry PLLC

  dba Riviera Family Dentistry

  • General Practice Dentistry
  • Mesquite, TX
  • NPI 1457053746
  NPD Authorized official
• Falafulking Dental PLLC

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1902344948
  NPD (past) Authorized official
• Ac King Dental PLLC

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1366921231
  NPD (past)

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638662400000",
    "number": "1497138697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 W OATES RD STE 150",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750435462",
            "telephone_number": "214-473-5696",
            "fax_number": "214-602-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 W OATES RD STE 150",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750435462",
            "telephone_number": "214-473-5696",
            "fax_number": "214-602-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSBERG",
        "first_name": "ZACHARY",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2021-12-05",
        "certification_date": "2021-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31166",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Denise King, M.S. L.P.C.
• Lewis R. King, MD
• Scottie Lynn King, MD
• Seqia King, MA / PHLEBOTOMIST
• Kings & Queens Healthcare Inc
• Kingsley Medical Clinic, P.a. (ridgewood medical clinic)
• Kingsley Road Dental Center PC
• Chelsey Nicole Kinney, M.A.
• Rael Kirarei, FNP
• Kirk Counseling LLC (A New Path Counseling Center)

• Dentist in Garland, TX
• Providers in Garland, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.