Kent H Killian, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4124-015 Issued in WI

Practice address

49 N Walbridge Ave
Madison, WI 53714-3506

Phone

(608) 246-2555

NPI assigned

Jun 2, 2006

Last updated

Jul 13, 2026By 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 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

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.

• Pediatric Dental Specialists of Madison LLC

  • Dentist
  • Madison, WI
  • NPI 1437310604
  NPD (past)
• Periodontal & Implant Specialists of Madison, LLC

  • Dentist
  • Madison, WI
  • NPI 1366614885
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295773539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6422 WYDOWN CIR",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 N WALBRIDGE AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537143506",
            "telephone_number": "608-246-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLIAN",
        "first_name": "KENT",
        "middle_name": "H",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4124-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33736500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shalynn Dawn Kilian
• Alison Kilkelly
• Suzanne Kilkus, PHD
• Tony L Kille, M.D.
• Jessica Amv Killerlain, PA
• Stacy L Killinger, PHD
• Stephanie Jan Killoy, APNP
• Richard R Kilmer, RPH
• Frank W Kilpatrick, MD
• Craig A Kilroy-Sikkema, PA-C

• General Practice Dentistry in Madison, WI
• Providers in Madison, 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 Jul 13, 2026; 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.

Verify at the official NPI Registry.