Active NPI
Heather Marie Kinnunen, RDH
- Dental Hygienist
- Turtle Lake, WI
National Provider Identifier
1336350412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 6401-016
- Practice address
- 225 Ostermann Dr
Turtle Lake, WI 54889-9191 - Phone
- (715) 986-2020
- NPI assigned
- May 24, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 6401-016 | WI | Primary |
Addresses
Primary practice location
225 Ostermann Dr
Turtle Lake, WI 54889-9191
Mailing address
53272 Co Rd D
Grand View, WI 54839
Phone (715) 763-3118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401-016 | WI | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cesa #11 Rural Health Dental Clinic | Past | Accepting new patients | |
| Cesa #11 Rural Health Dental Clinic | Dental Hygienist | Past | Accepting new patients |
Organizations & group practices 2
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
- Menomonie, WI
- NPI 1730390840
-
- Dental Hygienist
- Turtle Lake, WI
- NPI 1942457932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336350412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53272 CO RD D",
"city": "GRAND VIEW",
"state": "WI",
"postal_code": "54839",
"telephone_number": "715-763-3118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 OSTERMANN DR",
"city": "TURTLE LAKE",
"state": "WI",
"postal_code": "548899191",
"telephone_number": "715-986-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNUNEN",
"first_name": "HEATHER",
"middle_name": "MARIE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WI",
"license": "6401-016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Turtle Lake, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.