Douglas Eugene Kaylor, DDS

Key facts

NPI

1710056205

Entity type

Individual (NPI type 1)

Primary specialty

General Practice Dentistry 1223G0001X

License

28581 (CA)

Practice address

1406 Bailey Ave
Suite F
Needles, CA 92363-3115

Phone

(760) 326-4541

Fax

(760) 326-3844

NPI assigned

Nov 7, 2006

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710056205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 BAILEY AVE",
            "address_2": "SUITE F",
            "city": "NEEDLES",
            "state": "CA",
            "postal_code": "923633115",
            "telephone_number": "760-326-4541",
            "fax_number": "760-326-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 BAILEY AVE",
            "address_2": "SUITE F",
            "city": "NEEDLES",
            "state": "CA",
            "postal_code": "923633115",
            "telephone_number": "760-326-4541",
            "fax_number": "760-326-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYLOR",
        "first_name": "DOUGLAS",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needles, CA

• Bruce V. Graff, O.D.
• Shantell M Hazlewood
• Cynthia Hess, MHS
• Barbara A Hibbits, LMFT
• Evette Renee Jones, LVN
• Matthew Charles Kidd, MD
• William Robert Lansford, D.C.
• Di Lucas
• Lutheran Social Services of Southern California
• Jacqueline Joyce Mayes-Pehl

All providers in Needles, CA · General Practice Dentistry in California