Kirandeep Kaur, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1001190 Issued in WI

Practice address

519 N 17TH Ave
Wausau, WI 54401-2910

Phone

(715) 842-5459

NPI assigned

Jul 2, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kristo LTD

  dba Rapids Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wisconsin Rapids, WI
  • NPI 1407488075
  NPD (past)
• Kristo, LTC

  dba Kristo Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wausau, WI
  • NPI 1265891501
  NPD (past)

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1083020739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151030 SAGE LN",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544015115",
            "telephone_number": "510-509-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N 17TH AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012910",
            "telephone_number": "715-842-5459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Chestnut St # 100",
            "address_purpose": "LOCATION",
            "city": "Wisconsin Rapids",
            "state": "WI",
            "postal_code": "544944807",
            "country_code": "US",
            "telephone_number": "715-421-5255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUR",
        "first_name": "KIRANDEEP",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0030225",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "09239",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1001190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew R Karpinsky, RN
• Madison Kasparek, DDS
• Benjamin J Kaster, M.D.
• Katherine a. Hamilton Wright, PH.D., LLC
• Robert C Kaupie, MD
• Navneet Kaur, DO
• Jordyn Kazanecki
• Leslie Keeffe, PT
• Douglas James Keele, D.O.
• Michael Patrick Kehoe, M.D.

• General Practice Dentistry in Wausau, WI
• Providers in Wausau, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.