Active NPI
Timothy Joseph Kaigler, D.M.D.,M.A.G.D.
- General Practice Dentistry
- McDonough, GA
National Provider Identifier
1780607135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9172
- Practice address
- 70 Westridge Pkwy
Suite 100
McDonough, GA 30253-3048 - Phone
- (770) 898-3192
- Fax
- (770) 898-3747
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9172 | GA | Primary |
Addresses
Primary practice location
70 Westridge Pkwy
Suite 100
McDonough, GA 30253-3048
Mailing address
70 Westridge Pkwy
Suite 100
McDonough, GA 30253-3048
Phone (770) 898-3192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9172 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Sleep PC | Past | Accepting new patients | |
| Palmetto Family Dental of McDonough, PC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- McDonough, GA
- NPI 1376277335
-
- Health Service Clinic/Center
- McDonough, GA
- NPI 1679272017
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": "1227139200000",
"number": "1780607135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 WESTRIDGE PKWY",
"address_2": "SUITE 100",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302533048",
"telephone_number": "770-898-3192",
"fax_number": "770-898-3747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 WESTRIDGE PKWY",
"address_2": "SUITE 100",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302533048",
"telephone_number": "770-898-3192",
"fax_number": "770-898-3747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAIGLER",
"first_name": "TIMOTHY",
"middle_name": "JOSEPH",
"credential": "D.M.D.,M.A.G.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2008-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "9172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.