Individual provider Active NPI

Kristine Kaye Bechard, D.D.S.

  • Dentist
  • Durand, WI
National Provider Identifier
1245408095
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4490-15 Issued in WI
Practice address
620 7TH Ave W.
Durand, WI 54736
Phone
(715) 834-2004
NPI assigned
Feb 14, 2008
Last updated
Jan 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4490-15 WI Primary

Addresses

Primary practice location

620 7TH Ave W.
Durand, WI 54736

Mailing address

620 7TH Ave W.
Durand, WI 54736
Phone (715) 672-5261

Other names 1

  • Kristine Kaye Machgan (Former Name) Former name

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: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170109000326 WI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5698056547

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4490-15WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Chippewa Valley Dental Clinic, LTD 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1245408095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 7TH AVE W.",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "54736",
            "telephone_number": "715-672-5261",
            "fax_number": "715-672-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 7TH AVE W.",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "54736",
            "telephone_number": "715-834-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECHARD",
        "first_name": "KRISTINE",
        "middle_name": "KAYE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-14",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "4490-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "MACHGAN (FORMER NAME)",
            "middle_name": "KAYE",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durand, WI

Sources for this page

Verify at the official NPI Registry.