Harpreet Kaur, DDS
Individual provider Active NPI General Practice Dentistry · Cook, MN
NPI 1104963313 · NPPES record last updated Sep 22, 2017
Key facts
- NPI
- 1104963313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 60269 (CA)
- Practice address
- Scenic River Health Services
20 Fifth St SE
Cook, MN 55723-9719 - Phone
- (218) 666-5102
- Fax
- (218) 666-5099
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150409000788 | TX | Order and Referring Only - Other (Physician) |
3072831791 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D12139 | MN | MD | Dentist |
| 60269 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rolling Hills Clinic | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D12139 | MN | |
| General Practice Dentistry | 1223G0001X | 60269 | CA | Yes |
Addresses
Primary practice location
Scenic River Health Services
20 Fifth St SE
Cook, MN 55723-9719
Mailing address
409 E Vermilion Blvd
Cook, MN 55723-9719
Phone (530) 566-4102
Other providers in Cook, MN
- Joanne K Intveld
- Alyssa Mae Koktavy Israel
- Dayton Nels Johnson
- Jerel Dean Johnson
- Harold D Johnston
- Amy Kemp
- Erin Margret Kennedy
- William Brian Keute
- Melanie Liisa Kiehm
- Kenneth Donald Klos Jr.
All providers in Cook, MN · General Practice Dentistry in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.