Individual provider Active NPI

Rachel N Kayongo, D.D.S

  • General Practice Dentistry
  • Toledo, OH
National Provider Identifier
1912749631
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.027625 Issued in OH
Practice address
5951 Heatherdowns Blvd Ste 1
Toledo, OH 43614-4601
Phone
(419) 866-0999
NPI assigned
Jun 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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 30.027625 OH Primary

Addresses

Primary practice location

5951 Heatherdowns Blvd Ste 1
Toledo, OH 43614-4601

Mailing address

1802 Stewart Ave
Lincoln Park, MI 48146-3556
Phone (818) 770-6442

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
30.027625OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Dental Professionals, Delisle, P.C. General Practice CurrentSince Jun 16, 2024 Accepting new patients

Locations

5951 Heatherdowns Blvd
Ste 1
Toledo, OH 43614
Phone (419) 866-0999

Organizations & group practices 1

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": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1912749631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 STEWART AVE",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481463556",
            "telephone_number": "818-770-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5951 HEATHERDOWNS BLVD STE 1",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436144601",
            "telephone_number": "419-866-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYONGO",
        "first_name": "RACHEL",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.027625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.