M Kent Kiser, DDS, LTD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

M KENT KISER, DDS, LTD

Practice address

1151 E Main St Ste C
Radford, VA 24141-1761

Phone

(540) 639-0111

Fax

(540) 639-6111

NPI assigned

May 22, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Marshall Kent Kiser, DDS

Title

President/Owner

Phone

(540) 639-0111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1770140030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 E MAIN ST STE C",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241411761",
            "telephone_number": "540-639-0111",
            "fax_number": "540-639-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 E MAIN ST STE C",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241411761",
            "telephone_number": "540-639-0111",
            "fax_number": "540-639-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M KENT KISER, DDS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "KISER",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "540-639-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Radford, VA
• Providers in Radford, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.