Christopher J Kingma, D.D.S., M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

08828 Issued in IA

Practice address

2466 E Kimberly Rd
Davenport, IA 52807-2338

Phone

(563) 359-4270

NPI assigned

Jun 6, 2011

Last updated

Jan 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Gregory C. Witt D.D.S.,Marjorie a. Taylor D.D.S., P.C.

  • Endodontics
  • Davenport, IA
  • NPI 1073721098
  NPD (past)

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1750675989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2466 E KIMBERLY RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2466 E KIMBERLY RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072338",
            "telephone_number": "563-359-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGMA",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IA",
            "license": "08828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Loring Kimbrough, LMSW
• Nancy Kime, D.C.
• King Chiropractic LLC (Wholistic Family Chiropractic)
• Jennifer King, TLMHC
• Rachel Flint King, AU.D.
• Tara M Kinney, CRNA
• Lynette Kirk, LISW
• Chelsie Kirschbaum
• Jacqueline Elizabeth Kitchen, M.D.
• Eric Kitzmann, O.D.

• Endodontics in Davenport, IA
• Providers in Davenport, IA by specialty
• Endodontics in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.