Individual provider Active NPI

Kevin Hirschey

  • General Practice Dentistry
  • Platteville, WI
National Provider Identifier
1083745442
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
KMH0225 Issued in WI
Practice address
1250 N Water St
Platteville, WI 53818-1450
Phone
(608) 348-9591
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X KMH0225 WI Primary

Addresses

Primary practice location

1250 N Water St
Platteville, WI 53818-1450

Mailing address

1250 N Water St
Platteville, WI 53818-1450
Phone (608) 348-9591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160517000846 WI Order and Referring Only - Other (Non-Physician) 4880983790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KMH0225WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Oakpark Dental - Platteville Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083745442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 N WATER ST",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538181450",
            "telephone_number": "608-348-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 N WATER ST",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538181450",
            "telephone_number": "608-348-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCHEY",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "KMH0225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Platteville, WI

Sources for this page

Verify at the official NPI Registry.