Active NPI
Kathryn Lea
- Dental Therapist
- Austin, MN
National Provider Identifier
1750990206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Therapist
- License
- DT127
- Practice address
- 800 1St Ave SW
Austin, MN 55912-2507 - Phone
- (507) 437-8208
- NPI assigned
- Jul 29, 2020
- 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 |
|---|---|---|---|---|
| Dental Therapist | 125J00000X | DT127 | MN | Primary |
Addresses
Primary practice location
800 1St Ave SW
Austin, MN 55912-2507
Mailing address
800 1St Ave SW
Austin, MN 55912-2507
Phone (507) 437-8208
Other names 1
- Kathryn Tschida
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
| License | State | Type | Specialty |
|---|---|---|---|
| DT127 | MN | MD | Dental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1750990206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 1ST AVE SW",
"city": "AUSTIN",
"state": "MN",
"postal_code": "559122507",
"telephone_number": "507-437-8208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 1ST AVE SW",
"city": "AUSTIN",
"state": "MN",
"postal_code": "559122507",
"telephone_number": "507-437-8208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEA",
"first_name": "KATHRYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-29",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "125J00000X",
"taxonomy_group": "",
"desc": "Dental Therapist",
"state": "MN",
"license": "DT127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "TSCHIDA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Austin, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.