Individual provider Active NPI

Christopher K. Kesling, D.D.S. ,M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Westville, IN
National Provider Identifier
1205940731
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
12008104A Issued in IN
Practice address
1266 S. US Hwy 421
Westville, IN 46391-9631
Phone
(219) 785-2566
NPI assigned
Aug 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 12008104A IN Primary

Addresses

Primary practice location

1266 S. US Hwy 421
Westville, IN 46391-9631

Mailing address

22 Greenacres
La Porte, IN 46350-6051
Phone (219) 362-1615

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
12008104AINMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205940731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 GREENACRES",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463506051",
            "telephone_number": "219-362-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 S. US HWY 421",
            "city": "WESTVILLE",
            "state": "IN",
            "postal_code": "463919631",
            "telephone_number": "219-785-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESLING",
        "first_name": "CHRISTOPHER",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D.D.S. ,M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12008104A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.