Individual provider Active NPI

John K Kuyk, D.D.S.

  • Endodontics
  • Charleston, WV
National Provider Identifier
1760406565
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2495 Issued in WV
Practice address
405 Capitol St
Suite 914
Charleston, WV 25301-1749
Phone
(304) 345-1248
Fax
(304) 345-1249
NPI assigned
Jul 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 2495 WV Primary

Addresses

Primary practice location

405 Capitol St
Suite 914
Charleston, WV 25301-1749

Mailing address

405 Capitol St
Suite 914
Charleston, WV 25301-1749
Phone (304) 345-1248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150210001213 WV Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5799000964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Endodontics, PLLC Endodontics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760406565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 CAPITOL ST",
            "address_2": "SUITE 914",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011749",
            "telephone_number": "304-345-1248",
            "fax_number": "304-345-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CAPITOL ST",
            "address_2": "SUITE 914",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011749",
            "telephone_number": "304-345-1248",
            "fax_number": "304-345-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUYK",
        "first_name": "JOHN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WV",
            "license": "2495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.