Individual provider Active NPI

Kathryn Kupczyk, RDH

  • Dental Hygienist
  • Stevens Point, WI
National Provider Identifier
1053886069
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
100322216 Issued in WI
Practice address
941 Michigan Ave
Stevens Point, WI 54481-0171
Phone
(715) 544-1180
Fax
(715) 544-0845
NPI assigned
Oct 5, 2018
Last updated
Oct 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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 100322216 WI Primary

Addresses

Primary practice location

941 Michigan Ave
Stevens Point, WI 54481-0171

Mailing address

PO Box 171
Stevens Point, WI 54481-0171
Phone (715) 544-1180

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
100322216WIMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1053886069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 171",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544810171",
            "telephone_number": "715-544-1180",
            "fax_number": "715-544-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 MICHIGAN AVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544810171",
            "telephone_number": "715-544-1180",
            "fax_number": "715-544-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPCZYK",
        "first_name": "KATHRYN",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "100322216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.