DAN KAYLOR
NPI 1063967537
Preferred Provider Organization in College Place, WA

Active since August 24, 2016
100 N COLLEGE AVE, COLLEGE PLACE, WA 99324(509) 525-4177 Get Directions Write a Review

NPPES record last updated: August 24, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Preferred Provider Organization

About DAN KAYLOR

This page provides the complete NPI Profile along with additional information for Dan Kaylor, a provider established in College Place, Washington operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1063967537 assigned on August 2016. The practitioner's primary taxonomy code is 305R00000X with license number DE00005718 (WA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Dan Kaylor. The authorized official of this NPI record is Dan Wesley Kaylor (Owner/dentist)

NPI
1063967537 Verify this NPI
Provider Legal Name
DAN KAYLOR
Other Organization Name
DAN KAYLOR
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
100 N COLLEGE AVE COLLEGE PLACE, WA 99324
Location Phone
(509) 525-4177
Mailing Address
100 N COLLEGE AVE COLLEGE PLACE, WA 99324
Mailing Phone
(509) 525-4177
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-24-2016
Last Update Date
08-24-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
DE00005718
License State
WA
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAN WESLEY KAYLOR

Authorized Official Title
OWNER/DENTIST
Authorized Official Phone
(509) 525-4177

Reviews for DAN KAYLOR

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Dental)
100 N COLLEGE AVE
COLLEGE PLACE, WA 99324
Dentist
100 N COLLEGE AVE
COLLEGE PLACE, WA 99324

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063967537, enumerated as an "organization" on August 24, 2016.

The provider is located at 100 N COLLEGE AVE COLLEGE PLACE, WA 99324 and the phone number is (509) 525-4177.

Preferred Provider Organization with taxonomy code 305R00000X.