David Wayne Kinsinger, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19015498 Issued in IL

Practice address

104 E Queenwood Rd
Morton, IL 61550-2949

Phone

(309) 263-8922

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1861557787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E QUEENWOOD RD",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615502949",
            "telephone_number": "309-263-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E QUEENWOOD RD",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615502949",
            "telephone_number": "309-263-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSINGER",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19015498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Sharp Counseling PLLC
• Holly Elizabeth Kelson, CNP
• Kevin Littlefield
• Keystone Alf, LLC - Morton Al Operations Series
• Tonya Elizabeth Khouri, D.C.
• Kelsey Kirk
• Cristol S Klicker, LCSW
• Matthew Knight
• Kathy Knochel, M.S.W.
• Koch Family Medicine SC

• General Practice Dentistry in Morton, IL
• Providers in Morton, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.