KLW Dentistry

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KLW DENTISTRY

Practice address

2000 Fielders Rd
Jonesboro, AR 72401-1937

Phone

(870) 972-6985

Fax

(870) 972-5536

NPI assigned

May 26, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Katy Wagner, DDS

Title

Owner

Phone

(870) 972-6985

Specialties & licenses 1

Addresses

Other names 1

• Taylor Wagner Family Dentistry Doing business as

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1689053597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FIELDERS RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724011937",
            "telephone_number": "870-972-6985",
            "fax_number": "870-972-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FIELDERS RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724011937",
            "telephone_number": "870-972-6985",
            "fax_number": "870-972-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLW DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-972-6985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor Wagner Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Kirkley
• Lois Nia Kirklin
• Felicia Denise Kirksey
• Wonda Neshall Kirkwood
• Shafaq Kirmani, MD
• KMJ Enterprises Skill Care LLC
• Alicia Knight
• Carla Knight
• Cheryl Knight, LCSW
• Clyde Matthew Knight, LPC

• Dentist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.