KS Holdings PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

12781 Issued in MN

Legal business name

KS HOLDINGS PA

Doing business as

Lake Dental Care

Practice address

751 Rose Dr NW
Suite 108
Big Lake, MN 55309-8705

Phone

(763) 262-0259

NPI assigned

May 16, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kyle John Skjei, D.D.S.

Title

Dentist

Phone

(763) 262-0259

Specialties & licenses 1

Addresses

Other names 1

• Lake Dental Care Doing business as

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1013328608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 ROSE DR NW",
            "address_2": "SUITE 108",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553098705",
            "telephone_number": "763-262-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 ROSE DR NW",
            "address_2": "SUITE 108",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553098705",
            "telephone_number": "763-262-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KS HOLDINGS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "SKJEI",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "763-262-0259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "12781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Kantola
• Ashley Rae Kashevaroff
• McKayla Lynn Kent, MSW, LGSW
• Curtis Kopotic, ATC
• Sharon M Kramer, LMFT
• Morgan Kucala, CNP
• Peter Kuefler, DDS
• Louann Larson
• Jennifer Ann Lawrence, MA LMFT
• Trudy Lee Legatt, SLP

• Dental Clinic/Center in Big Lake, MN
• Providers in Big Lake, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.