Jeffrey Thomas Kaiser, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

21758 Issued in OH

Practice address

1064 W Wooster St
Bowling Green, OH 43402-2633

Phone

(419) 352-4661

Fax

(419) 352-4944

NPI assigned

Oct 2, 2007

Sex

Male

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 OH

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 and National Provider Directory roles.

• Kaiser Family Dentistry, Inc.

  • General Practice Dentistry
  • Bowling Green, OH
  • NPI 1861600132
  NPD (past) Authorized official
• Transcendental, LTD

  • General Practice Dentistry
  • Bowling Green, OH
  • NPI 1093505968
  NPD (past)

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1891982955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 W WOOSTER ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022633",
            "telephone_number": "419-352-4661",
            "fax_number": "419-352-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 W WOOSTER ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022633",
            "telephone_number": "419-352-4661",
            "fax_number": "419-352-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "JEFFREY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "21758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannene D Judson, SLP
• Owen Juhn
• Jump Start Primary Care and Sports Medicine, Inc
• K Mahmood M D Inc
• Kaiser Family Dentistry, Inc.
• Kalniz Choksey Dental- Bowling Green LLC
• Misty D Kammeyer
• Enas Kanama, MD
• Rosia Samantha Keenan, QMHS-HS
• Lauren Keipper

• Dentist in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.