Laura Marie Kukelhan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010786 Issued in IN

Practice address

1133 N Main St
Bluffton, IN 46714-1324

Phone

(260) 824-3100

Fax

(260) 824-0018

NPI assigned

Jul 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Complete Smiles, Inc.

  dba Laura Kukelhan, DDS

  • General Practice Dentistry
  • Bluffton, IN
  • NPI 1003001710
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780600361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 N MAIN ST",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467141324",
            "telephone_number": "260-824-3100",
            "fax_number": "260-824-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 N MAIN ST",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467141324",
            "telephone_number": "260-824-3100",
            "fax_number": "260-824-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKELHAN",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney A Keller, PA-C
• Joseph Keller, DPT
• Esther Laurene Kerns, R.D.
• Amy M Kiel
• Kroger Limited Partnership I
• Arlene J Kuntzman, LMHC
• Amy Lai, MD
• Landmark Recovery of Carmel LLC
• Stephanie Lantz
• Russel Jerome Legreid II, M.D.

• General Practice Dentistry in Bluffton, IN
• Providers in Bluffton, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.