Active NPI
Kyle Ann Lohman
- General Practice Dentistry
- Shakopee, MN
National Provider Identifier
1134737802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D14448
- Practice address
- 4155 Dean Lakes Blvd
Shakopee, MN 55379-2851 - Phone
- (952) 303-8320
- NPI assigned
- Jul 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D14448 | MS | |
| General Practice Dentistry | 1223G0001X | D14448 | MN | Primary |
Addresses
Primary practice location
4155 Dean Lakes Blvd
Shakopee, MN 55379-2851
Mailing address
2200 County Road C W Ste 2210
Roseville, MN 55113-2551
Phone (651) 746-2815
Other practice location 1
1215 Town Centre Dr Ste 150
Eagan, MN 55123-2660
Phone (651) 287-3729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D14448 | MS | MD | Dentist |
| D14448 | MN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Facial Pain Center PLLC | Dentist | Past | Accepting new patients |
| PDG, P.a | Past | Accepting new patients | |
| Hunter Creek Dental, PA | General Practice | Past | Accepting new patients |
| PDG, PA | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Dental Clinic/Center
- Eagan, MN
- NPI 1952952392
-
- Dental Clinic/Center
- Shakopee, MN
- NPI 1821545930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1134737802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 COUNTY ROAD C W STE 2210",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551132551",
"telephone_number": "651-746-2815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4155 DEAN LAKES BLVD",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553792851",
"telephone_number": "952-303-8320"
}
],
"practiceLocations": [
{
"address_1": "1215 Town Centre Dr Ste 150",
"address_purpose": "LOCATION",
"city": "Eagan",
"state": "MN",
"postal_code": "551232660",
"country_code": "US",
"telephone_number": "651-287-3729",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOHMAN",
"first_name": "KYLE",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-20",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "D14448",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D14448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.