Active NPI
Alexis Linnebur Kindred, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Novato, CA
National Provider Identifier
1689103228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DS044535
- Practice address
- 1805 Novato Blvd Ste 1
Novato, CA 94947-2934 - Phone
- (415) 892-1190
- NPI assigned
- Jun 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS044535 | PA | Primary |
Addresses
Primary practice location
1805 Novato Blvd Ste 1
Novato, CA 94947-2934
Mailing address
1805 Novato Blvd Ste 1
Novato, CA 94947-2934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Maxillofacial Surgery
- Education
- Midwestern University College of Dental Medicine, Downers Grove, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
841 Hospital Rd
Suite 3300
Indiana, PA 15701-3620
Phone (724) 357-7490
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS044535 | PA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipg Oral Surgery LLP | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
841 Hospital Rd
Ste 3300
Indiana, PA 15701
Phone (724) 357-7490
640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196
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 and National Provider Directory roles.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Indiana, PA
- NPI 1730906454
Oral and Maxillofacial Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789257600000",
"number": "1689103228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 NOVATO BLVD STE 1",
"city": "NOVATO",
"state": "CA",
"postal_code": "949472934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 NOVATO BLVD STE 1",
"city": "NOVATO",
"state": "CA",
"postal_code": "949472934",
"telephone_number": "415-892-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINNEBUR KINDRED",
"first_name": "ALEXIS",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-07",
"last_updated": "2026-09-13",
"certification_date": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PA",
"license": "DS044535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.