Kristine L. Osborn, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6143 Issued in WI

Practice address

2830 Darling CT
La Crosse, WI 54601-2754

Phone

(608) 783-7330

NPI assigned

May 22, 2007

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

• Ms. Kristine L. Halverson Former name

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

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1649489790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W3043 STATE ROAD 16",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546699032",
            "telephone_number": "608-792-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 DARLING CT",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546012754",
            "telephone_number": "608-783-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "KRISTINE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "HALVERSON",
            "middle_name": "L.",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin Orozco, MD
• Jennifer Marie Orozco, M.D.
• Chara L Orth, RD
• Dawn M. Ortiz, OT
• Emily Ortiz, MD
• Raunaque S Oshan, PA-C
• Kathryn Ann Oslund, RD, CD
• Tara Lynn Ostromencki, DNP, PMHNP
• Madelyn Dorothyann Otto
• Edwin M Overholt, MD

• General Practice Dentistry in La Crosse, WI
• Providers in La Crosse, 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 Feb 23, 2022; 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.