Mawata Kamara

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H11245 Issued in MN

Practice address

9920 Foley Blvd NW Ste 110
Coon Rapids, MN 55433-5216

Phone

(763) 317-1166

NPI assigned

Feb 20, 2025

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• PL Dental SC

  • Dental Clinic/Center
  • Zimmerman, MN
  • NPI 1225786411
  NPD
• PL Dental SC

  • Dental Clinic/Center
  • Coon Rapids, MN
  • NPI 1952140691
  NPD

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1063218006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 FOLEY BLVD NW STE 110",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335216",
            "telephone_number": "763-317-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 FOLEY BLVD NW STE 110",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335216",
            "telephone_number": "763-317-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMARA",
        "first_name": "MAWATA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MN",
            "license": "H11245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matko Kalac, M.D., PH.D.
• David Christopher Kalb, M.D.
• Chad David Kalil, O.D.
• Jennifer Kalpin, DDS
• Maliki Fofee Kamara
• Joan Alexandra Kane-Coleman
• Carol B Kaplan, LP
• Marissa Kaplan, D.D.S.
• Kayla Marie Kappel, AGNP
• Jessica Marie Kapungulya, DC

• Dental Hygienist in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Dental Hygienist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.