Kelsey Marie Patton Hostetler, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901020299 Issued in MI

Practice address

271 S Main St
Verona, WI 53593-1470

Phone

(608) 845-6612

NPI assigned

Aug 27, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kelsey MP Hostetler DDS, SC

  • Dental Clinic/Center
  • Verona, WI
  • NPI 1780205088
  NPD Authorized official
• Verona Family Dental LLC

  • General Practice Dentistry
  • Verona, WI
  • NPI 1538434154
  NPD (past)
• Upper Peninsula Association of Rural Health Services, Inc.

  • Family Medicine Physician
  • Marquette, MI
  • NPI 1396851804
  NPD (past)

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1578879532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 S MAIN ST",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931470",
            "telephone_number": "608-845-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 S MAIN ST",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931470",
            "telephone_number": "608-845-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSTETLER",
        "first_name": "KELSEY",
        "middle_name": "MARIE PATTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "7161",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn Holder, MS, LPC
• Adrienne Holland, OD
• Jared D Holthe, D.C.
• Amy Katherine Holzer, MD
• Aimee Hoof
• Matthew Alan Hostetler, D.D.S.
• Erika Hotchkiss, LPN
• Madison Lea Hoven
• Yaole Hu
• Margo E Hubbard, PA-C

• Dentist in Verona, WI
• Providers in Verona, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.