Kyle Jon Rasmussen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D13996 Issued in MN

Practice address

217 Nassau St
Saint Peter, MN 56082-2055

Phone

(507) 931-5646

NPI assigned

May 16, 2018

Last updated

May 16, 2018By the provider in NPPES

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 MN

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riverside Dental Care,LLC

  • General Practice Dentistry
  • Saint Peter, MN
  • NPI 1861579658
  NPD (past)

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1003306952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 448",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560820448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 NASSAU ST",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560822055",
            "telephone_number": "507-931-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "KYLE",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piic Clinical Services (Alumacraft Employee Wellness Center)
• Amanda Pipal, BCTMB, CMLDT
• Hana Lynn Pokornowski
• Christine Elisabeth Prato, M.D.
• Jay Michael Ranfranz, D.D.S.
• Alyssa Louise Real, PHARMD
• Sonia Burns Reardon
• Haley Jean Reed
• Anne Reese, PHARM.D.
• Holly Regenscheid, DC

• Dentist in Saint Peter, MN
• Providers in Saint Peter, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.