Brent Arthur Killian, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6161-015 Issued in WI

Practice address

6213 Middleton Springs Dr
Middleton, WI 53562-2273

Phone

(608) 831-0467

Fax

(608) 831-5108

NPI assigned

Feb 25, 2008

Sex

Male

Sole proprietor

No

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

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1417126376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6213 MIDDLETON SPRINGS DR",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622273",
            "telephone_number": "608-831-0467",
            "fax_number": "608-831-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6213 MIDDLETON SPRINGS DR",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622273",
            "telephone_number": "608-831-0467",
            "fax_number": "608-831-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLIAN",
        "first_name": "BRENT",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6161-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fern D. Kanitz, LPC
• Raymond S. Karlovich, PHD
• Peter S Karofsky, MD
• Timothy Kauer, LPC
• Wanda J Keniston, MS
• Greg A Killian, D.D.S.
• Christine Elizabeth Killips, RD
• Aja Leigh Kimrey, O.D.
• Kelly Rose Kinderman, MS MFT
• Clifford King, MD

• General Practice Dentistry in Middleton, WI
• Providers in Middleton, 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 Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.