TKR Oral Maxillofacial Surgeons Corporation

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

TKR ORAL MAXILLOFACIAL SURGEONS CORPORATION

Practice address

914 Johnstown Rd
Beckley, WV 25801-4938

Phone

(681) 207-3959

Fax

(681) 207-3958

NPI assigned

Jan 30, 2020

Last updated

Jan 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Krstal Kay Thompson, DDSNPI 1699096131

Title

President

Phone

(304) 731-6688

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krstal Kay Thompson, D.D.S.

  • General Practice Dentistry
  • Maidsville, WV
  • NPI 1699096131
  NPD (past) Authorized official
• Kristopher Neil Reynolds, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Princeton, WV
  • NPI 1700225141

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1710518543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 JOHNSTOWN RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014938",
            "telephone_number": "681-207-3959",
            "fax_number": "681-207-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 JOHNSTOWN RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014938",
            "telephone_number": "681-207-3959",
            "fax_number": "681-207-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TKR ORAL MAXILLOFACIAL SURGEONS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KRSTAL",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-731-6688",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Tibbitts
• Jaquline Tilley
• Kayla Christine Tilley
• Leila Ann Tilley, PHARMD
• Zachary James Tilley
• Natalie Mae Todd
• Pamela Todorovich
• Wilfrido T Tolentino Jr., PA C
• Ashley Toler, RN
• Kealy Toler

• Oral and Maxillofacial Surgery (Dentist) in Beckley, WV
• Providers in Beckley, WV by specialty
• Oral and Maxillofacial Surgery (Dentist) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.