Individual provider Active NPI

Megan Marie Kinder, DDS

  • Pediatric Dentistry
  • Hudson, WI
National Provider Identifier
1760748941
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
6801-15 Issued in WI
Practice address
400 2ND St S
#250
Hudson, WI 54016-4000
Phone
(715) 808-0460
NPI assigned
Apr 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 6801-15 WI Primary

Addresses

Primary practice location

400 2ND St S
#250
Hudson, WI 54016-4000

Mailing address

1364 130TH Ave
New Richmond, WI 54017-6608
Phone (612) 381-6599

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
6801-15WIMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverdale Pediatric Dentistry P.a. Pediatric Dentistry Past Accepting new patients
Riverdale Kidds Pediatric Dentistry, PLLC Pediatric Dentistry Past Accepting new patients
St. Croix Kidds Pediatric Dentistry Pediatric Dentistry Past Accepting new patients
Blaine Kidds Pediatric Dentistry PLLC Pediatric Dentistry Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1760748941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 130TH AVE",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540176608",
            "telephone_number": "612-381-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 2ND ST S",
            "address_2": "#250",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540164000",
            "telephone_number": "715-808-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDER",
        "first_name": "MEGAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "6801-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.