Individual provider Active NPI

Kevin Michael Donlin, DMD

  • Dentist
  • Madison, SD
National Provider Identifier
1376818773
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D987 Issued in SD
Practice address
622 N Highland Ave
Madison, SD 57042-1956
Phone
(605) 256-6668
Fax
(605) 256-9251
NPI assigned
Mar 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D987 SD Primary

Addresses

Primary practice location

622 N Highland Ave
Madison, SD 57042-1956

Mailing address

622 N Highland Ave
Madison, SD 57042-1956
Phone (605) 256-6668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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

Enrollment IDStateProvider typePAC IDDetails
I20150707002169 SD Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6709198625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D987SDMDDentist
0987SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin M. Donlin, D.M.D., P.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1376818773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 N HIGHLAND AVE",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570421956",
            "telephone_number": "605-256-6668",
            "fax_number": "605-256-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 N HIGHLAND AVE",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570421956",
            "telephone_number": "605-256-6668",
            "fax_number": "605-256-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONLIN",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-19",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "D987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, SD

Sources for this page

Verify at the official NPI Registry.