George H. Kyd III, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

12518 Issued in MO

Practice address

77 Westport PLZ
Suite 367
Saint Louis, MO 63146-3107

Phone

(341) 434-4676

NPI assigned

Jan 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Westport Periodontics P.C.

  • Periodontics
  • Saint Louis, MO
  • NPI 1902953391
  NPD (past) Authorized official
• Aaron G Campbell Periodontics LLC

  • Periodontics
  • Saint Louis, MO
  • NPI 1225715303
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982751392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WESTPORT PLZ",
            "address_2": "SUITE 367",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463107",
            "telephone_number": "341-434-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WESTPORT PLZ",
            "address_2": "SUITE 367",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463107",
            "telephone_number": "341-434-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYD",
        "first_name": "GEORGE",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MO",
            "license": "12518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Kwasny, M.D.
• Michael Jah-Hwa Kwok, MD, MS
• Catherine Kwon, M.D.
• Jane Kwon, MD
• Jennie H Kwon, DO
• George Boateng Kyei, MD
• Cynthia Kyin
• Coneisha Deandra Kyles
• Jaime Lynn Kynion, FNP-C
• Jonathan Charles Kyonka, FNP

• Periodontics in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Periodontics in Missouri

• 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.