Kurt Gordon Behlmer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1001322-15 Issued in WI

Practice address

2324 W Wisconsin Ave
Apartment 40
Milwaukee, WI 53233-2942

Phone

(414) 779-1058

NPI assigned

Apr 18, 2016

Last updated

Aug 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 3, 2016 through Nov 3, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Good Land Dental Mke, LLC

  dba Good Land Dental

  • Dental Clinic/Center
  • Milwaukee, WI
  • NPI 1548066046
  NPD Authorized official
• Eastside Dental LLC

  • Dental Clinic/Center
  • Milwaukee, WI
  • NPI 1780040618
  NPD (past)

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1275987133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 N 67TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532133905",
            "telephone_number": "414-779-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 W WISCONSIN AVE",
            "address_2": "APARTMENT 40",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532332942",
            "telephone_number": "414-779-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHLMER",
        "first_name": "KURT",
        "middle_name": "GORDON",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-18",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1001322-15",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Behind the Scenes Action Resource Center LLC,
• Behind the Scenes Community Care
• Behind the Scenes Staffing Agency, LLC
• Kriti Behl Stefan
• Heather Behling, DNP, RN
• William David Behlmer, DDS
• Behnaz Behmaram, MD
• Mariah Behr, RN
• Victoria Leigh Behr, PHD
• Julia Behrend

• General Practice Dentistry in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.