Herbert Michael Kaske, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1938G Issued in WI

Practice address

330 E Main St
Twin Lakes, WI 53181-0729

Phone

(262) 877-2161

NPI assigned

Jul 1, 2006

Sex

Male

Sole proprietor

Yes

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 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

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992734115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "address_2": "330 E MAIN ST",
            "city": "TWIN LAKES",
            "state": "WI",
            "postal_code": "531810729",
            "telephone_number": "262-877-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E MAIN ST",
            "city": "TWIN LAKES",
            "state": "WI",
            "postal_code": "531810729",
            "telephone_number": "262-877-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASKE",
        "first_name": "HERBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1938G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kateri Lynne Gullifor, D.T.
• Healing Hand Home Care Services
• Tina Jesse, PT
• Kathryn Kalvestrand
• Charlene M Karls, DO
• Mallory A. Kelly, PT, DPT
• Kelly'S Care
• Bruce M. Kempken, D.D.S.
• Nikolai S. Laitamaki, LAT
• Mary Lou Mumford

• All providers in Twin Lakes, WI
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.