Active NPI
Kristine Kaye Bechard, D.D.S.
- Dentist
- Durand, WI
National Provider Identifier
1245408095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4490-15
- Practice address
- 620 7TH Ave W.
Durand, WI 54736 - Phone
- (715) 834-2004
- NPI assigned
- Feb 14, 2008
- Last updated
- Jan 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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)
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170109000326 | WI | Order and Referring Only - Oral Surgery | 5698056547 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4490-15 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dental Clinic/Center
- Durand, WI
- NPI 1528108016
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
- Advent Health Medical Group Primary Care at Durand North
- Lisa Reiland Arkowski, D.C.
- Balanced Path, LLC (Durand Chiropractic Health Center)
- Baldwin Chiropractic Health Center (Durand Chiropractic Health Center)
- Timmy Earl Bignell, ASSOCIATE DEGREE
- Rene Christine Brahmstadt
- Castleberg Clinic SC
- Chippewa Valley Dental Clinic, LTD
- Chippewa Valley Hospital & Oakview Care Center Inc. (AdventHealth Durand)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.