Jennifer S. Kitson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3386-015 Issued in WI

Practice address

764 Crestview Dr
Reedsburg, WI 53959-2581

Phone

(608) 524-4213

Fax

(608) 524-0743

NPI assigned

Dec 6, 2006

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 identifiers 1

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

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.

• Reedsburg Family Dental, S.C.

  • General Practice Dentistry
  • Reedsburg, WI
  • NPI 1952460123
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1982763140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 CRESTVIEW DR",
            "address_2": "P.O. BOX 383",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539592581",
            "telephone_number": "608-524-4213",
            "fax_number": "608-524-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 CRESTVIEW DR",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539592581",
            "telephone_number": "608-524-4213",
            "fax_number": "608-524-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITSON",
        "first_name": "JENNIFER",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3386-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33468700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Kietzman
• Kincaid Chiropractic, S.C.
• Melissa Kincaid
• Steven William Kincaid, M.D.
• Elizabeth Marie Kinnison, LCSW
• Heather Jo Klang
• Eric W. Klingbeil, M.D.
• Timothy Michael Knoll, DDS
• Janet Kolze
• Robert J Koontz, M.D.

• General Practice Dentistry in Reedsburg, WI
• Providers in Reedsburg, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.