Daniel P Kiley, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D0792 Issued in AK

Practice address

880 E End Rd
Homer, AK 99603

Phone

(907) 226-2228

Fax

(907) 226-2230

NPI assigned

May 9, 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

Medicare fee-for-service enrollment

Enrolled in AK

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1881643682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 E END RD",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037201",
            "telephone_number": "907-226-2228",
            "fax_number": "907-226-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 E END RD",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "99603",
            "telephone_number": "907-226-2228",
            "fax_number": "907-226-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILEY",
        "first_name": "DANIEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "D0792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lou Kelsey, ANP CNM RN
• Jackie Kempf, MS, CCC-SLP
• Kenai Physical Therapy, Inc.
• Bronwyn Kennedy, RN
• Shane Kilcher
• Yein Kim
• Nathan William Kincaid, M.D.
• Rachael Brown Kincaid, DNP
• Danielle King, PHARMD
• Nora Kinsey-Kuentzel

• General Practice Dentistry in Homer, AK
• Providers in Homer, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.