Kelsie Brooke Hinkl, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2023016438 Issued in MO

Practice address

824 E 6TH St
Washington, MO 63090-3109

Phone

(636) 392-6728

NPI assigned

Jul 11, 2019

Sex

Female

Sole proprietor

Yes

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

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.

• Oklahoma Family Dentistry

  • General Practice Dentistry
  • Norman, OK
  • NPI 1578061099

  General Practice

  NPD (past)

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1396397121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16511 WILD HORSE CREEK RD APT 321",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630171436",
            "telephone_number": "618-791-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 E 6TH ST",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903109",
            "telephone_number": "636-392-6728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3505 MEDICAL PARK DR",
            "address_purpose": "LOCATION",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730727307",
            "country_code": "US",
            "telephone_number": "405-329-8420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINKL",
        "first_name": "KELSIE",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7222",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2023016438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronak Dana Hendry, M.D.
• Branna Jo-Chapman Hensley, APRN
• Sara K Herbert, FNP-BC
• Jean Kirsten Hertz, M.D.
• Patricia Lynne Hewkin, LPC
• Ann Marie Hoch, FNP-C
• Joshua Hoeft, ATC
• Daniel Paul Hoehne, D.O.
• Meg Hofer
• Alison Hoglan

• All providers in Washington, MO
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.