Garry W Killyon, M.D., D.D.S

Primary specialty

SpecialistTaxonomy code 174400000X

License

M2673 Issued in TX

Practice address

13111 East Fwy Ste 106
Houston, TX 77015-5819

Phone

(713) 453-7186

Fax

(713) 453-3003

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Reginald C Buford

  • Specialist
  • Houston, TX
  • NPI 1932278132
  NPD (past)
• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811086051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13111 EAST FWY STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155819",
            "telephone_number": "713-453-7186",
            "fax_number": "713-453-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 EAST FWY STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155819",
            "telephone_number": "713-453-7186",
            "fax_number": "713-453-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLYON",
        "first_name": "GARRY",
        "middle_name": "W",
        "credential": "M.D., D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "M2673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033141501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dalene Marie Killian, OTR
• James M Killian, MD
• Jordan Killingsworth
• Peter V Killoran, M.D.
• Sabrina Killough, OTR
• Charles C Kilpatrick, M.D.
• Kasey Mae Kilpatrick, RD, LD
• Katy Camille Kilpatrick, NP
• Kristina Kilpatrick
• Miles Kilroy, M.D.

• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.