Individual provider Active NPI

Kathleen Frances Himden, D.D.S.

  • General Practice Dentistry
  • Brown Deer, WI
National Provider Identifier
1427365394
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3634 Issued in WI
Practice address
6051 W Brown Deer Rd Ste 203W
Brown Deer, WI 53223-2263
Phone
(414) 354-3000
NPI assigned
Sep 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3634 WI Primary

Addresses

Primary practice location

6051 W Brown Deer Rd Ste 203W
Brown Deer, WI 53223-2263

Mailing address

10213 N Foxkirk Dr
Mequon, WI 53097-3623
Phone (262) 238-9099

Other identifiers 1

IdentifierTypeStateIssuer
33700600MedicaidWI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151125001314 WI Order and Referring Only - DentistPractitioner - Dentist 2365742269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Feinman & Himden D.D.S., S.C. General Practice 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": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1427365394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10213 N FOXKIRK DR",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530973623",
            "telephone_number": "262-238-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 W BROWN DEER RD STE 203W",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532232263",
            "telephone_number": "414-354-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMDEN",
        "first_name": "KATHLEEN",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33700600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brown Deer, WI

Sources for this page

Verify at the official NPI Registry.