Kristine Kim Neuburg, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

WI5624 Issued in WI

Practice address

533 South Main St.
The Gentle Dental Emporium LLC
West Bend, WI 53095

Phone

(262) 338-8704

Fax

(262) 338-9140

NPI assigned

Jul 27, 2009

Last updated

Jul 27, 2009By the provider in NPPES

Sex

Female

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

Enrolled in WI

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.

• Gentle Dental Management LLC

  dba Gentle Dental Emporium

  • Dentist
  • West Bend, WI
  • NPI 1154477818
  NPD (past) Authorized official

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1033349956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 SOUTH MAIN ST.",
            "address_2": "THE GENTLE DENTAL EMPORIUM, LLC",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "53095",
            "telephone_number": "262-338-8704",
            "fax_number": "262-338-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 SOUTH MAIN ST.",
            "address_2": "THE GENTLE DENTAL EMPORIUM LLC",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "53095",
            "telephone_number": "262-338-8704",
            "fax_number": "262-338-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUBURG",
        "first_name": "KRISTINE",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "WI5624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald M Muth, MD
• Haley Naegeli
• E. Prakash Nair, APNP
• Colleen Elizabeth Gosa Nalepinski, PHYSICIAN ASSISTANT
• Earl William Nepple, MD
• McKenna Christine Neuman, MS, LPC-IT
• Newberry Group, Inc.
• Gregory M Newth, PTA
• Andrea Newton, LPC, LMHC
• Rita J Newton, PT

• Dentist in West Bend, WI
• Providers in West Bend, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.