Kimberly Kutzler, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

1001103-15 Issued in WI

Practice address

3216 Business Park Dr
Stevens Point, WI 54482-8838

Phone

(715) 544-1277

NPI assigned

May 27, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Bauknecht Former name

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": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821477530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 BUSINESS PARK DR",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544828838",
            "telephone_number": "715-544-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 BUSINESS PARK DR",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544828838",
            "telephone_number": "715-544-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTZLER",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001103-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BAUKNECHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Seth Kuhn, LAT
• Todd Harold Kuhn, LPC, MS, CADC III
• Kathryn Kupczyk, RDH
• David A Kuphal, PA
• Rebecca Ann Kurszewski, M.ED, BCBA
• Aleksander Kuzmin, MD
• La Clinica de Los Campesinos, Inc
• La Clinica de Los Campesinos, Inc
• Hannah N Laabs, DPT
• Tyler P Laber, PAC

• All providers in Stevens Point, WI
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.