Individual provider Active NPI

Timothy Joseph Kaigler, D.M.D.,M.A.G.D.

  • General Practice Dentistry
  • McDonough, GA
National Provider Identifier
1780607135
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9172 Issued in GA
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

Updated by the provider on Nov 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
9172GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Sleep PC PastSince Feb 26, 2023 Accepting new patients
Palmetto Family Dental of McDonough, PC General Practice PastSince Jul 17, 2022 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.

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.

Verify at the official NPI Registry.