DARNELL KAIGLER PLLC (NPI# 1104376771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104376771 |
Entity Type | Organization |
Organization Name | DARNELL KAIGLER PLLC |
Other Organization Name | DETROIT DENTAL SPECIALTY CENTER |
Practice Address |
430 Mack Ave Detroit MI 48201-2136 |
Practice Telephone | 3139360819 |
Practice Fax Number | 3139360818 |
Mailing Telephone | 3139360819 |
Mailing Fax Number | 3139360818 |
Enumeration Date | 2016-10-07 |
Last Update Date | 2016-10-07 |
Authorized Official Name | DR. DARNELL KAIGLER JR. (PRESIDENT) |
Authorized Official Telephone | 3139360819 |
Authorized Official Credential | DDS, MS, PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 122300000X | Dentist | 2901017652 | MI | Dental Providers |
N | 1223E0200X |
Dentist Specialization: Endodontics |
2901018329 | MI | Dental Providers |
Y | 1223P0300X |
Dentist Specialization: Periodontics |
2901018534 | MI | Dental Providers |
Other Name | Type Code |
---|---|
Detroit Dental Specialty Center | Doing Business As Name - Organization |
Street Address |
430 MACK AVE |
City | DETROIT |
State | MI |
Zip Code | 48201-2136 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801863998 | Medical Management PC | Family Medicine | 430 Mack Ave, Detroit, MI 48201-2136 | 2006-03-07 |
1104482439 | Childrens Dental Care of Detroit | Dentist | 430 Mack Ave, Detroit, MI 48201-2136 | 2019-05-13 |
1821542010 | Arianne Sophia Swanson | Dentist | 430 Mack Ave, Detroit, MI 48201-2136 | 2016-08-05 |
1235437807 | Rio Detroit Inc | Pharmacy | 430 Mack Ave, Detroit, MI 48201-2136 | 2011-03-07 |
1588971980 | Mack Medical Management LLC | Specialist | 430 Mack Ave, Detroit, MI 48201-2136 | 2010-09-07 |
1205148616 | Renaissance Medical Center Pllc | Medical Genetics, Ph.D. Medical Genetics | 430 Mack Ave, Detroit, MI 48201-2136 | 2010-07-14 |
1861668089 | Anant Inc | Pharmacy | 430 Mack Ave, Detroit, MI 48201-2136 | 2008-05-07 |
1295908069 | Dmxrx Ltd | Pharmacy | 430 Mack Ave, Detroit, MI 48201-2136 | 2008-04-11 |
1205008125 | Ruben Taguiam Benito | Legal Medicine | 430 Mack Ave, Suite B, Detroit, MI 48201 | 2008-04-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
Find all providers in zip 48201 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730780933 | Mariam Khan | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 | 2020-11-04 |
1487267373 | Ranjitha Rai Padhiar | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 | 2020-08-28 |
1477089431 | Omar Mario Masabni | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 | 2017-05-11 |
1003283557 | Karishma M Choksi | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 | 2015-08-31 |
1023414240 | Hana Gadalla | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 | 2014-11-16 |
1124458609 | Fatima A Tiwana | Dentist | 2700 Martin Luther King Jr Blvd, Udmsod Periodontology & Dental Hygiene, Detroit, MI 48208-2576 | 2013-11-19 |
1407286446 | Abdel-ghany Alsaidi | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 | 2013-11-12 |
1154759249 | Kenneth Lee Hillenburg | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208-2576 | 2013-10-29 |
1558626036 | Natasha Kapoor | Dentist | 500 River Place Dr, Apt 5103, Detroit, MI 48207-5030 | 2012-07-10 |
1356577498 | Darnell Kaigler D D S P C | Dentist | 2671 W Grand Blvd, Detroit, MI 48208-1203 | 2009-06-03 |
Find all providers in DETROIT |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.