Individual provider Active NPI

Christopher W. Kindig, D.M.D.

  • General Practice Dentistry
  • Jensen Beach, FL
National Provider Identifier
1609963560
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16759 Issued in FL
Practice address
3380 NE Sugarhill Ave
Sugarhill Dental
Jensen Beach, FL 34957-3724
Phone
(772) 334-3653
Fax
(772) 334-9840
NPI assigned
Oct 10, 2006
Last updated
Sep 28, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN16759 FL Primary

Addresses

Primary practice location

3380 NE Sugarhill Ave
Sugarhill Dental
Jensen Beach, FL 34957-3724

Mailing address

3380 NE Sugarhill Ave
Sugarhill Dental
Jensen Beach, FL 34957-3724
Phone (772) 334-3653

Other identifiers 1

IdentifierTypeStateIssuer
760706979OtherFLTAX I.D.

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
DN16759FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher W Kindig, DMD, PA 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1609963560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 NE SUGARHILL AVE",
            "address_2": "SUGARHILL DENTAL",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573724",
            "telephone_number": "772-334-3653",
            "fax_number": "772-334-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 NE SUGARHILL AVE",
            "address_2": "SUGARHILL DENTAL",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573724",
            "telephone_number": "772-334-3653",
            "fax_number": "772-334-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDIG",
        "first_name": "CHRISTOPHER",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX I.D.",
            "identifier": "760706979",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.