Kim Allen Kessler, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12008005A Issued in IN

Practice address

10780 Randolph St
Crown Point, IN 46307-7615

Phone

(219) 663-6579

Fax

(219) 663-5085

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

Yes

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 IN

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

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.

• Advanced Dental Group LLC

  dba Advanced Dental Concepts of Winfield

  • Dental Clinic/Center
  • Crown Point, IN
  • NPI 1497949044
  Authorized official Same address or phone
• Kessler Family Dentistry

  • General Practice Dentistry
  • Crown Point, IN
  • NPI 1376971416
  NPD (past) Authorized official
• Kim a Kessler DDS PC

  dba Winfield Dental

  • General Practice Dentistry
  • Crown Point, IN
  • NPI 1114019437
  NPD (past) Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1003908385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 BEACHVIEW CT",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079315",
            "telephone_number": "219-988-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10780 RANDOLPH ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077615",
            "telephone_number": "219-663-6579",
            "fax_number": "219-663-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "KIM",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008005A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy Kennedy
• Emily Irene Kenyon, LAT, ATC, CKTP, ITAT
• John Peter Kern III, PA-C
• Kessler Family Dentistry
• Adam Kessler
• Kevin M Brunski DDS PC
• Key Hearing AIDS of Crown Point LLC
• Samuel Shimon Khairkar, M.D.
• Abdul Waheed Khan, MD
• Tahir M Khokher, M.D.

• General Practice Dentistry in Crown Point, IN
• Providers in Crown Point, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.