Organization Active NPI

Jason M. Kuester DDS, LLC

  • Dental Clinic/Center
  • Evansville, IN
National Provider Identifier
1255752663
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12011322-A Issued in IN
Legal business name
JASON M. KUESTER DDS, LLC
Practice address
1331 W Boonville New Harmony Rd
Evansville, IN 47725-9583
Phone
(812) 867-6428
Fax
(812) 867-7494
NPI assigned
Jan 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Authorized official

Name
Mrs. Bryn E Dant
Title
Dental Assistant/Office Assistant
Phone
(812) 867-6428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 12011322-A IN Primary

Addresses

Primary practice location

1331 W Boonville New Harmony Rd
Evansville, IN 47725-9583

Mailing address

1331 W Boonville New Harmony Rd
Evansville, IN 47725-9583
Phone (812) 867-6428

National Provider Directory

National Provider Directory

Locations

1331 W Boonville New Harmony Rd
Darmstadt, IN 47725
Phone (812) 867-6428

Practitioners & affiliated clinicians

Practitioners 2

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": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1255752663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W BOONVILLE NEW HARMONY RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477259583",
            "telephone_number": "812-867-6428",
            "fax_number": "812-867-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W BOONVILLE NEW HARMONY RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477259583",
            "telephone_number": "812-867-6428",
            "fax_number": "812-867-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON M. KUESTER DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "DANT",
        "authorized_official_first_name": "BRYN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTAL ASSISTANT/OFFICE ASSISTANT",
        "authorized_official_telephone_number": "812-867-6428",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12011322-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.