Individual provider Active NPI

Lindsay Anne Kuehl, DMD

  • General Practice Dentistry
  • Redondo Beach, CA
National Provider Identifier
1477229862
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
108832 Issued in CA
Practice address
415 N Pacific Coast Hwy Ste 100-a
Redondo Beach, CA 90277-2840
Phone
(310) 469-9353
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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 108832 CA Primary

Addresses

Primary practice location

415 N Pacific Coast Hwy Ste 100-a
Redondo Beach, CA 90277-2840

Mailing address

415 N Pacific Coast Hwy Ste 100-a
Redondo Beach, CA 90277-2840
Phone (310) 469-9353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20231025001795 CA Order and Referring Only - DentistPractitioner - Dentist 1658727706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Dental TN, PLLC General Practice PastSince Aug 1, 2021 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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1477229862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N PACIFIC COAST HWY STE 100-A",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772840",
            "telephone_number": "310-469-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N PACIFIC COAST HWY STE 100-A",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772840",
            "telephone_number": "310-469-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUEHL",
        "first_name": "LINDSAY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

Verify at the official NPI Registry.