Active NPI
Kathryn Ann Bird, DDS
- Dentist
- Beaufort, SC
National Provider Identifier
1043858228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1002224-15
- Practice address
- 674 Boulevard de France
Beaufort, SC 29902 - Phone
- (843) 228-3500
- NPI assigned
- Dec 18, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 1002224-15 | WI | Primary |
Addresses
Primary practice location
674 Boulevard de France
Beaufort, SC 29902
Mailing address
5729 W Wells St
Wauwatosa, WI 53213-3237
Phone (608) 397-5638
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 |
|---|---|---|---|
| 1002224-15 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1043858228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5729 W WELLS ST",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532133237",
"telephone_number": "608-397-5638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "674 BOULEVARD DE FRANCE",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "29902",
"telephone_number": "843-228-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRD",
"first_name": "KATHRYN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-18",
"last_updated": "2021-10-28",
"certification_date": "2021-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "1002224-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.