Active NPI
Kelsey Bernadette Hester
- General Practice Dentistry
- North Olmsted, OH
National Provider Identifier
1578099263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30.025365
- Practice address
- 26777 Lorain Rd Ste 417
North Olmsted, OH 44070-3224 - Phone
- (440) 779-7292
- NPI assigned
- May 2, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 30.025365 | OH | Primary |
Addresses
Primary practice location
26777 Lorain Rd Ste 417
North Olmsted, OH 44070-3224
Mailing address
26777 Lorain Rd Ste 417
North Olmsted, OH 44070-3224
Phone (440) 779-7292
Other names 1
- Kelsey Bernadette Kuehner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.025365 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WM. L. Simko & George Haritonovich DDS Inc. | 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.
-
- General Practice Dentistry
- North Olmsted, OH
- NPI 1053558601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1578099263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26777 LORAIN RD STE 417",
"city": "NORTH OLMSTED",
"state": "OH",
"postal_code": "440703224",
"telephone_number": "440-779-7292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26777 LORAIN RD STE 417",
"city": "NORTH OLMSTED",
"state": "OH",
"postal_code": "440703224",
"telephone_number": "440-779-7292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESTER",
"first_name": "KELSEY",
"middle_name": "BERNADETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-02",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.025365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELSEY",
"last_name": "KUEHNER",
"middle_name": "BERNADETTE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North Olmsted, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.