Kurtis S Kellner DDS SC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0002949 Issued in WI

Legal business name

KURTIS S KELLNER DDS SC

Practice address

1931 N 8TH St
Sheboygan, WI 53081

Phone

(920) 457-5170

Fax

(920) 457-2450

NPI assigned

Sep 22, 2006

Last updated

Jul 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kurtis Stanley Kellner, DDSNPI 1831328293

Title

President

Phone

(920) 457-5170

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kurtis S Kellner, D.D.S.

  • General Practice Dentistry
  • Sheboygan, WI
  • NPI 1831328293
  Authorized official Same address or phone

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1588764435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 N 8TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "53081",
            "telephone_number": "920-457-5170",
            "fax_number": "920-457-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 N 8TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "53081",
            "telephone_number": "920-457-5170",
            "fax_number": "920-457-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURTIS S KELLNER DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "KELLNER",
        "authorized_official_first_name": "KURTIS",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-457-5170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "0002949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen P Kunkel, MD
• Allison Kunze
• Eric Kunze
• James B Kuplic, MD
• Erika Kurscheidt, DC
• Stacie M Kussard
• George V Kuttickat, MD
• La Clinica de Los Campesinos, Inc (Noble Pharmacy)
• La Sante Wisconsin, Inc. (HME Home Medical)
• Labor of Love Center

• General Practice Dentistry in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.