Active NPI
Kelsey MP Hostetler DDS, SC
Doing business as Verona Family Dental
- Dental Clinic/Center
- Verona, WI
National Provider Identifier
1780205088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- KELSEY MP HOSTETLER DDS, SC
- Doing business as
- Verona Family Dental
- Practice address
- 271 S Main St
Verona, WI 53593-1470 - Phone
- (608) 845-6612
- NPI assigned
- Apr 28, 2020
- Last updated
- Apr 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kelsey Marie Patton Hostetler, DDS
- Title
- Dentist/Owner
- Phone
- (608) 448-5056
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
271 S Main St
Verona, WI 53593-1470
Mailing address
6797 Horseshoe BND
Verona, WI 53593-9211
Phone (608) 448-5056
Other names 1
- Verona Family Dental
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Verona, WI
- NPI 1578879532
-
- General Practice Dentistry
- Verona, WI
- NPI 1093128928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588032000000",
"number": "1780205088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6797 HORSESHOE BND",
"city": "VERONA",
"state": "WI",
"postal_code": "535939211",
"telephone_number": "608-448-5056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 S MAIN ST",
"city": "VERONA",
"state": "WI",
"postal_code": "535931470",
"telephone_number": "608-845-6612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELSEY MP HOSTETLER DDS, SC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-28",
"last_updated": "2020-04-28",
"certification_date": "2020-04-28",
"status": "A",
"authorized_official_last_name": "HOSTETLER",
"authorized_official_first_name": "KELSEY",
"authorized_official_middle_name": "MARIE PATTON",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "608-448-5056",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Verona Family Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Verona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.