Active NPI
Dean D Kindler, MD
- Neurology Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 4301086230
- Practice address
- 777 Hemlock St
Macon, GA 31201 - Phone
- (478) 633-1000
- NPI assigned
- Jan 25, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Neurology Physician | 2084V0102X | 84265 | GA | |
| Neurology Physician | 2084N0400X | 4301086230 | MI | Primary |
Addresses
Primary practice location
777 Hemlock St
Macon, GA 31201
Mailing address
2490 Riverside Dr Ste B
Macon, GA 31204-1787
Phone (478) 633-6644
Other practice location 1
777 Hemlock St
Macon, GA 31201
Phone (478) 633-1000
Other practice location 2
777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4749625 | Medicaid | MI | |
| CA2184 | Other | MI | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Virginia School of Medicine, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1923 S Utica Ave
Tulsa, OK 74104-6520
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301086230 | MI | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promed Healthcare | Current | Accepting new patients | |
| Ascension Medical Group Promed | Current | Accepting new patients | |
| St. John Physicians, Inc | Current | Accepting new patients | |
| Ascension Medical Group Promed | Current | Accepting new patients | |
| St. John Physicians, Inc. | Neurology | Past | Accepting new patients |
Locations
570 Linn St
Allegan, MI 49010
Phone (269) 686-4275
3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100
1541 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264
1541 Gull Rd
Ste 100
Kalamazoo, MI 49048
Phone (269) 226-5290
215 E Mansion St
Marshall, MI 49068
Phone (269) 789-3940
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
711 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Portage, MI
- NPI 1497709869
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1720009954
-
- Rural Health Clinic/Center
- Plainwell, MI
- NPI 1487708830
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1053381608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2490 RIVERSIDE DR STE B",
"city": "MACON",
"state": "GA",
"postal_code": "312041787",
"telephone_number": "478-633-6644",
"fax_number": "478-633-4295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 HEMLOCK ST",
"city": "MACON",
"state": "GA",
"postal_code": "31201",
"telephone_number": "478-633-1000"
}
],
"practiceLocations": [
{
"address_1": "777 Hemlock St",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "31201",
"country_code": "US",
"telephone_number": "478-633-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "777 Hemlock St",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312012102",
"country_code": "US",
"telephone_number": "478-633-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINDLER",
"first_name": "DEAN",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "GA",
"license": "84265",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "4301086230",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4749625",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CA2184",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.