Individual provider Active NPI

Michael Clarence Kayser, DDS

  • Dentist
  • Evansdale, IA
National Provider Identifier
1598849093
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5699 Issued in IA
Practice address
3534 Lafayette Rd
Evansdale, IA 50707-1025
Phone
(319) 233-9903
Fax
(319) 292-1696
NPI assigned
Oct 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5699 IA Primary

Addresses

Primary practice location

3534 Lafayette Rd
Evansdale, IA 50707-1025

Mailing address

3534 Lafayette Rd
Evansdale, IA 50707-1025
Phone (319) 233-9903

Other identifiers 1

IdentifierTypeStateIssuer
0119149MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5699IAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ruth Christine Gonzalez DDS PC Dentist Past Accepting new patients
Leigh Bailey Werner DDS PC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598849093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3534 LAFAYETTE RD",
            "city": "EVANSDALE",
            "state": "IA",
            "postal_code": "507071025",
            "telephone_number": "319-233-9903",
            "fax_number": "319-292-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 LAFAYETTE RD",
            "city": "EVANSDALE",
            "state": "IA",
            "postal_code": "507071025",
            "telephone_number": "319-233-9903",
            "fax_number": "319-292-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYSER",
        "first_name": "MICHAEL",
        "middle_name": "CLARENCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "5699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119149",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansdale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.