Active NPI
Abbie Ruth Kershner, D.D.S
- Dentist
- Manitowoc, WI
National Provider Identifier
1982999405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6727
- Practice address
- 4144 Harbor Town LN Ste 600
Manitowoc, WI 54220-5856 - Phone
- (920) 638-9701
- NPI assigned
- Jun 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6727 | WI | Primary |
Addresses
Primary practice location
4144 Harbor Town LN Ste 600
Manitowoc, WI 54220-5856
Mailing address
3743 Mackert St Apt 6
Manitowoc, WI 54220-4183
Phone (319) 610-2165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1982999405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3743 MACKERT ST APT 6",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542204183",
"telephone_number": "319-610-2165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4144 HARBOR TOWN LN STE 600",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542205856",
"telephone_number": "920-638-9701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERSHNER",
"first_name": "ABBIE",
"middle_name": "RUTH",
"name_prefix": "Mrs.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-13",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.