Active NPI
Katherine Lynne Kindt, DDS
- Dentist
- Cottonwood, AZ
National Provider Identifier
1992098594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 57280
- Practice address
- 1061 S State Route 260
Cottonwood, AZ 86326-4624 - Phone
- (928) 239-3254
- NPI assigned
- May 16, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 57280 | CA | Primary |
| Dentist | 122300000X | 10494 | AZ |
Addresses
Primary practice location
1061 S State Route 260
Cottonwood, AZ 86326-4624
Mailing address
455 Mountain View Dr
Sedona, AZ 86336-4183
Phone (831) 238-3913
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57280 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1992098594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 MOUNTAIN VIEW DR",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863364183",
"telephone_number": "831-238-3913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 S STATE ROUTE 260",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264624",
"telephone_number": "928-239-3254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINDT",
"first_name": "KATHERINE",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-16",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "57280",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "10494",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.