Davina Kumar, DMD

Primary specialty

Orofacial Pain DentistryTaxonomy code 1223X2210X

License

D15054 Issued in MN

Practice address

5000 W 36TH St Ste 250
Minneapolis, MN 55416-2776

Phone

(952) 926-3858

NPI assigned

Apr 14, 2020

Sex

Female

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 14, 2024 through Nov 14, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Facial Pain Center PLLC

  • Dental Clinic/Center
  • Roseville, MN
  • NPI 1407325830
  NPD (past)

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1043839574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W 36TH ST STE 250",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554162776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W 36TH ST STE 250",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554162776",
            "telephone_number": "952-926-3858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 W Nicollet Blvd",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553374524",
            "country_code": "US",
            "telephone_number": "952-926-3858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4200 W Old Shakopee Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554372976",
            "country_code": "US",
            "telephone_number": "952-926-3858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4155 Dean Lakes Blvd",
            "address_purpose": "LOCATION",
            "city": "Shakopee",
            "state": "MN",
            "postal_code": "553792851",
            "country_code": "US",
            "telephone_number": "952-926-3858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "DAVINA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X2210X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orofacial Pain",
            "state": "MN",
            "license": "D15054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Kulzer, RD
• Rita Mantan Kum, RN,BSN
• Akshay Premchand Kumar, MD
• Anil Kumar, M.D.
• Ashley Kumar, DNP, AGNP-C
• Mohineesh Kumar, MD
• Neil Kumar, PHARMD
• Prem Kumar, DDS
• Rashmi Kumar, M.D.
• Sacha Kumar, MD

• Orofacial Pain Dentistry in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Orofacial Pain Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.