Kylie Ford

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1002656-15 Issued in WI

Practice address

2848 Cottage Grove Rd
Cottage Grove, WI 53527-8862

Phone

(608) 839-6363

NPI assigned

Aug 31, 2021

Last updated

Aug 31, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CJ Karas DDS of Cottage Grove

  • Dental Clinic/Center
  • Cottage Grove, WI
  • NPI 1336679083
  NPD (past)

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1396413951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SENECA PL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112950",
            "telephone_number": "847-404-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 COTTAGE GROVE RD",
            "city": "COTTAGE GROVE",
            "state": "WI",
            "postal_code": "535278862",
            "telephone_number": "608-839-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "KYLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002656-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kylief@karasdentalgroup.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2848 Cottage Grove Rd",
            "city": "Cottage Grove",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535278862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Courtney Rae Fabick
• Tyler Fanta, RN
• Ashley Jane Fielek, DNP, RN, AGCNS-BC
• Jeffrey A Fischer, PA C
• Javier Eugenio Font, PA-C
• Sheri L. Gehrke, R.PH.
• Ann M Goedken, MS, LCSW,LPC
• Golden Independence LLC (Seniors Helping Seniors)
• Juliana Gonzalez Calderon, RN
• Susan Kay Gorton, LPN

• General Practice Dentistry in Cottage Grove, WI
• Providers in Cottage Grove, 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 Aug 31, 2021; 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.