Active NPI
Megan Marie Kinder, DDS
- Pediatric Dentistry
- Hudson, WI
National Provider Identifier
1760748941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 6801-15
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801-15 | WI | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
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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.