Kaitlin Anne Jasper, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1002351 Issued in WI

Practice address

1001 Madison Ave
South Milwaukee, WI 53172-2500

Phone

(414) 764-6760

NPI assigned

Jun 16, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Dr. William G. Wong & Associates SC

  • General Practice Dentistry
  • West Allis, WI
  • NPI 1821439076
  NPD (past)
• Park Dentistry LLC

  • General Practice Dentistry
  • West Allis, WI
  • NPI 1902566003
  NPD (past)

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1336764281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MADISON AVE",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531722500",
            "telephone_number": "414-764-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MADISON AVE",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531722500",
            "telephone_number": "414-764-6760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1947 S 60th St",
            "address_purpose": "LOCATION",
            "city": "West Allis",
            "state": "WI",
            "postal_code": "532191552",
            "country_code": "US",
            "telephone_number": "414-545-6747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASPER",
        "first_name": "KAITLIN",
        "middle_name": "ANNE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riza Esber Hood
• Nicole Kay Hoppe, LAT
• Jillian Huyck Hudson, MD
• Insight Family Services, LLC
• Insightful Path Counseling LLC
• Jean-Owen Adult Family Home, LLC
• Joan M Yelanjian
• Kaela Johnson
• Shawn Joseph
• Judayah Ventures LLC

• General Practice Dentistry in South Milwaukee, WI
• Providers in South 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 Oct 23, 2020; 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.