Active NPI
Douglas Kinney, D.M.D.
- Dentist
- Otego, NY
National Provider Identifier
1679697486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 037471
- Practice address
- 525 Crawford Road
Otego, NY 13825 - Phone
- (607) 432-1010
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 037471 | NY | Primary |
Addresses
Primary practice location
525 Crawford Road
Otego, NY 13825
Mailing address
8 Grand Street
Oneonta, NY 13820
Phone (607) 432-1010
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
| License | State | Type | Specialty |
|---|---|---|---|
| 037471 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679697486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 GRAND STREET",
"city": "ONEONTA",
"state": "NY",
"postal_code": "13820",
"telephone_number": "607-432-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 CRAWFORD ROAD",
"city": "OTEGO",
"state": "NY",
"postal_code": "13825",
"telephone_number": "607-432-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNEY",
"first_name": "DOUGLAS",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "037471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Otego, NY
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.