Organization Active NPI

Jeffery a. Kohler, Jr., DDS PLLC

  • Dental Clinic/Center
  • Lakeville, MN
National Provider Identifier
1144743808
Registry record updated Nov 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JEFFERY A. KOHLER, JR., DDS PLLC
Doing business as
Lakeville Advanced Dental Care
Practice address
17600 Cedar Ave
Lakeville, MN 55044-6339
Phone
(952) 232-4185
NPI assigned
Jul 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2023

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

Authorized official

Name
Dr. Jeffery Arthur Kohler Jr., DDSNPI 1245525880
Title
Owner/Dentist
Phone
(952) 232-4185

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

17600 Cedar Ave
Lakeville, MN 55044-6339

Mailing address

17600 Cedar Ave
Lakeville, MN 55044-6339
Phone (952) 232-4185

Other names 1

  • Lakeville Advanced Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

17600 Cedar Ave
Lakeville, MN 55044
Phone (402) 206-1118

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700265600000",
    "number": "1144743808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17600 CEDAR AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446339",
            "telephone_number": "952-232-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17600 CEDAR AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446339",
            "telephone_number": "952-232-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY A. KOHLER, JR., DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2023-11-18",
        "certification_date": "2023-11-18",
        "status": "A",
        "authorized_official_last_name": "KOHLER",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "952-232-4185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeville Advanced Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2023; 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.