Individual provider Active NPI

Kory Pilkington, RDH

  • Dental Hygienist
  • Milwaukee, WI
National Provider Identifier
1033360763
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
6789-16 Issued in WI
Practice address
1308 S. Cesar Chavez Drive
Milwaukee, WI 53204-0408
Phone
(414) 383-3220
NPI assigned
Sep 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 6789-16 WI Primary

Addresses

Primary practice location

1308 S. Cesar Chavez Drive
Milwaukee, WI 53204-0408

Mailing address

7309 S 68TH St
Franklin, WI 53132-9206
Phone (414) 795-7126

Other identifiers 1

IdentifierTypeStateIssuer
33829400MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6789-16WIMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1033360763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7309 S 68TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329206",
            "telephone_number": "414-795-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 S. CESAR CHAVEZ DRIVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532040408",
            "telephone_number": "414-383-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILKINGTON",
        "first_name": "KORY",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "6789-16",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33829400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.