Organization Active NPI

Kim a Kessler DDS PC

  • General Practice Dentistry
  • Crown Point, IN
National Provider Identifier
1114019437
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54000584A Issued in IN
Legal business name
KIM A KESSLER DDS PC
Practice address
10780 Randolph St
Crown Point, IN 46307-7615
Phone
(219) 663-6579
Fax
(219) 663-5085
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Kim Allen Kessler, DDSNPI 1003908385
Title
Dr Owner
Phone
(219) 988-5251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 54000584A IN Primary

Addresses

Primary practice location

10780 Randolph St
Crown Point, IN 46307-7615

Mailing address

1716 Beachview CT
Crown Point, IN 46307-9315
Phone (219) 988-5251

Other names 1

  • Winfield Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1114019437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 BEACHVIEW CT",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079315",
            "telephone_number": "219-988-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10780 RANDOLPH ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077615",
            "telephone_number": "219-663-6579",
            "fax_number": "219-663-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM A KESSLER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DR OWNER",
        "authorized_official_telephone_number": "219-988-5251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "54000584A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winfield Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.