Individual provider Active NPI

Kelsey Bernadette Hester

  • General Practice Dentistry
  • North Olmsted, OH
National Provider Identifier
1578099263
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.025365 Issued in OH
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

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
30.025365OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
WM. L. Simko & George Haritonovich DDS Inc. General Practice PastSince Oct 9, 2022 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": "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.

Verify at the official NPI Registry.