Active NPI
Jeffrey R. Kindseth, DDS
- General Practice Dentistry
- Dana Point, CA
National Provider Identifier
1043346125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 39168
- Practice address
- 24721 La PLZ
Dana Point, CA 92629-2509 - Phone
- (949) 661-2152
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 39168 | CA | Primary |
Addresses
Primary practice location
24721 La PLZ
Dana Point, CA 92629-2509
Mailing address
24721 La PLZ
Dana Point, CA 92629-2509
Phone (949) 661-2152
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39168 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480723200000",
"number": "1043346125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24721 LA PLZ",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926292509",
"telephone_number": "949-661-2152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24721 LA PLZ",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926292509",
"telephone_number": "949-661-2152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINDSETH",
"first_name": "JEFFREY",
"middle_name": "R.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2016-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "39168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dana Point, CA
- Kelly McDonough DDS a Dental Corporation
- Richard Kempert, M.D.
- Ken Yoshino DPT Atc Physical Therapy a Professional Corporation
- Larissa Emily Kibort, CADC
- Daniel Christopher Kimbley, DC
- Kofford Medical Corp.
- Jeannine Carmen Kofford, M.D.
- Eileen M Kramer, PSY.D.
- Cathryn Ann Kruger, APCC
- Kyle Jordan Physical Therapy Consulting PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.