Caitlin Kudlata, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6891-15 Issued in WI

Practice address

115 N Brookwood Dr
Mount Horeb, WI 53572-3432

Phone

(608) 437-5519

NPI assigned

Apr 6, 2012

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 WI

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

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1780940411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N BROOKWOOD DR",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535723432",
            "telephone_number": "920-222-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N BROOKWOOD DR",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535723432",
            "telephone_number": "608-437-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDLATA",
        "first_name": "CAITLIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-06",
        "last_updated": "2022-04-11",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6891-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter John Kish, DC
• Maxim Kleinschmit, PT
• Heidi Sue Knapton, COTA
• Courtney Rose Koeberl
• Amanda L Krause, PHARMD
• Lisa Ladson, B.A., C.A.B.A.
• Cynthia Lee Leece, RN
• Kelly Lonergan, M.S., CCC-SLP, C/NDT
• David B Lonsdorf, MD
• Catherine B Lott, RN

• Dentist in Mount Horeb, WI
• Providers in Mount Horeb, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.