Kimberly A Kind-Bauer, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

3755 Issued in WI

Practice address

4445 Taylor Ave
Racine, WI 53405-4642

Phone

(262) 554-1600

Fax

(262) 554-1640

NPI assigned

Jun 3, 2009

Last updated

Jun 3, 2009By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 10, 2015 through Aug 10, 2027

Medicare enrollment (NPD)

Not 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.

• Kind Dentistry LLC

  • Dentist
  • Racine, WI
  • NPI 1669567574
  NPD (past) Authorized official
• Dental Health Professionals of Wisconsin, S.C.

  dba Kind Dentistry

  • General Practice Dentistry
  • Mount Pleasant, WI
  • NPI 1417549544
  NPD (past)

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1023244159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 TAYLOR AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534054642",
            "telephone_number": "262-554-1600",
            "fax_number": "262-554-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 TAYLOR AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534054642",
            "telephone_number": "262-554-1600",
            "fax_number": "262-554-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIND-BAUER",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "3755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet E. Kieslich, N.P.
• Daniel Yeil Kim, D.M.D.
• Robert B.H. Kim, MD MBA
• Debra Candy Kimaiga, LCSW, LPC, ICS
• Kind Dentistry LLC
• Nathalie Anne King, PA
• Sherri King, RN
• Russell William Kinkade Jr., PSYD
• Ann M Kirchner, RN
• Anna Lorene Kirchner, D.D.S.

• Dentist in Racine, WI
• Providers in Racine, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.