Individual provider Active NPI

Kinsley Whitaker

  • Dentist
  • Kearney, NE
National Provider Identifier
1609763226
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8104 Issued in NE
Practice address
4106 6TH Ave
Kearney, NE 68845-3395
Phone
(308) 237-3479
NPI assigned
Jun 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8104 NE Primary

Addresses

Primary practice location

4106 6TH Ave
Kearney, NE 68845-3395

Mailing address

3441 E Arbor LN
Kearney, NE 68845-1674
Phone (602) 885-6469

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
8104NEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine L. Goodwin, D.D.S., LLC CurrentSince Jun 23, 2025 Accepting new patients
Kearney Dental Clinic P C PastSince Jun 23, 2025 Accepting new patients

Locations

4106 6th Ave
Kearney, NE 68845
Phone (308) 237-3281

Organizations & group practices 2

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": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1609763226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 E ARBOR LN",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688451674",
            "telephone_number": "602-885-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 6TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688453395",
            "telephone_number": "308-237-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "KINSLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "8104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.