Kathryn Kyle Ikuma, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19538 Issued in MA

Practice address

13 Mechanic Street
Bellingham, MA 02019

Phone

(508) 966-1522

Fax

(508) 966-4464

NPI assigned

Oct 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kathryn Kyle Wynkoop Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kathryn Wynkoop Ikuma DMD LLC

  dba Bellingham Family Dental

  • General Practice Dentistry
  • Bellingham, MA
  • NPI 1134302466
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619061637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 MECHANIC STREET",
            "city": "BELLINGHAM",
            "state": "MA",
            "postal_code": "02019",
            "telephone_number": "508-966-1522",
            "fax_number": "508-966-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 MECHANIC STREET",
            "city": "BELLINGHAM",
            "state": "MA",
            "postal_code": "02019",
            "telephone_number": "508-966-1522",
            "fax_number": "508-966-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKUMA",
        "first_name": "KATHRYN",
        "middle_name": "KYLE",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "WYNKOOP",
            "middle_name": "KYLE",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bshara Homsy Sinan
• Cally Hoonjan
• Ashleigh Hughes
• Amy N Hurley
• Lauren Eileen Hurley
• Chloe Zadeth Im, RPH
• Jamie E Jackson, PA-C
• Scott Jacobsen
• Ethan Joseph Januszewski, PA-C
• Eric A Jenike

• General Practice Dentistry in Bellingham, MA
• Providers in Bellingham, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.