Individual provider Active NPI

Gregory E Kinsinger Jr., DDS

  • Dentist
  • Waynesburg, OH
National Provider Identifier
1528127214
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30022404 Issued in OH
Practice address
8373 Waynesburg Dr SE
Waynesburg, OH 44688
Phone
(330) 866-3507
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30022404 OH Primary

Addresses

Primary practice location

8373 Waynesburg Dr SE
Waynesburg, OH 44688

Mailing address

8373 Waynesburg Dr. SE
Waynesburg, OH 44688
Phone (330) 866-3507

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160321000590 OH Order and Referring Only - DentistPractitioner - Dentist 2163729062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30022404OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory E. Kinsinger, D.D.S., Inc. Past Accepting new patients
Michael Masonbrink DDS, Inc Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1528127214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8373 WAYNESBURG DR. SE",
            "city": "WAYNESBURG",
            "state": "OH",
            "postal_code": "44688",
            "telephone_number": "330-866-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8373 WAYNESBURG DR SE",
            "city": "WAYNESBURG",
            "state": "OH",
            "postal_code": "44688",
            "telephone_number": "330-866-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSINGER",
        "first_name": "GREGORY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30022404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesburg, OH

Sources for this page

Verify at the official NPI Registry.