William H E Kieper DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7652MN Issued in MN

Legal business name

WILLIAM H E KIEPER DDS PA

Practice address

780 West 4TH Street
Rush City, MN 55069

Phone

(320) 358-3120

Fax

(320) 358-3288

NPI assigned

Oct 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William H E Kieper, DDSNPI 1609959675

Title

President

Phone

(320) 358-3120

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• William H E Kieper, DDS

  • General Practice Dentistry
  • Rush City, MN
  • NPI 1609959675
  NPD (past) Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922181809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "RUSH CITY",
            "state": "MN",
            "postal_code": "55069",
            "telephone_number": "320-358-3120",
            "fax_number": "320-358-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 WEST 4TH STREET",
            "city": "RUSH CITY",
            "state": "MN",
            "postal_code": "55069",
            "telephone_number": "320-358-3120",
            "fax_number": "320-358-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM H E KIEPER DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIEPER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-358-3120",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "7652MN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE TAX ID #",
            "identifier": "5464614",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Croix River Education District
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• Janelle Marie Traurig, RN BSN PHN
• Walker Senior Housing Corporation IV (Rushseba Station)
• Janet Lynn Wilson, RN

• General Practice Dentistry in Rush City, MN
• Providers in Rush City, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.