Gary L Kaefer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001913 Issued in WI

Practice address

7425 Main St W
Webster, WI 54893-8207

Phone

(715) 866-4204

Fax

(715) 866-4205

NPI assigned

May 4, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Gary Kaefer Family Dentisty DDS SC

  • Dental Clinic/Center
  • Webster, WI
  • NPI 1437341799
  NPD (past) Authorized official
• Gary L Kaefer DDS SC

  • General Practice Dentistry
  • Grantsburg, WI
  • NPI 1508949082
  NPD (past) Authorized official
• Edp of Wisconsin, SC

  • Dental Clinic/Center
  • Hartland, WI
  • NPI 1639685779
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619935848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 MAIN ST W",
            "address_2": "PO BOX 4",
            "city": "WEBSTER",
            "state": "WI",
            "postal_code": "548938207",
            "telephone_number": "715-866-4204",
            "fax_number": "715-866-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 MAIN ST W",
            "city": "WEBSTER",
            "state": "WI",
            "postal_code": "548938207",
            "telephone_number": "715-866-4204",
            "fax_number": "715-866-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAEFER",
        "first_name": "GARY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5001913",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "5001913",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Marie Hughes, LPN
• Ingalls Family Medicine Clinic SC
• John W Ingalls, MD
• Leah B Jacobs, NP
• Timothy William Johnson, D.D.S.
• Emily Ann Karl
• Ian Karl
• Deborah Ann Knutsen, REGISTERED NURSE
• Antonette Koons
• Theresa Lubich, LPN

• General Practice Dentistry in Webster, WI
• Providers in Webster, 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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.