Individual provider Active NPI

Robert Ernest Kievit, D.M.D.

  • General Practice Dentistry
  • West Hartford, CT
National Provider Identifier
1710328067
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
011250 Issued in CT
Practice address
901 Farmington Ave Ste 201
West Hartford, CT 06119-1418
Phone
(860) 232-4511
NPI assigned
Jul 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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 011250 CT Primary

Addresses

Primary practice location

901 Farmington Ave Ste 201
West Hartford, CT 06119-1418

Mailing address

901 Farmington Ave Ste 201
West Hartford, CT 06119-1418
Phone (860) 232-4511

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
011250CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kievit Dental, PLLC Current Accepting new patients

Locations

901 Farmington Ave
Ste 201
West Hartford, CT 06119
Phone (860) 232-4511

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": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1710328067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 FARMINGTON AVE STE 201",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191418",
            "telephone_number": "860-232-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 FARMINGTON AVE STE 201",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191418",
            "telephone_number": "860-232-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEVIT",
        "first_name": "ROBERT",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-16",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "011250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.