Kind Autism Care Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KIND AUTISM CARE INC

Practice address

2371 Williams Dr
Burnsville, MN 55337-2081

Phone

(952) 855-2363

NPI assigned

May 5, 2021

Last updated

May 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deqa Omar

Title

President

Phone

(952) 855-2363

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1215510318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2371 WILLIAMS DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372081",
            "telephone_number": "952-855-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2371 WILLIAMS DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372081",
            "telephone_number": "952-855-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND AUTISM CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "DEQA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-855-2363"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Elaine Killoran
• Kim D Fjelstad DPM PA
• Asa B Kim, M.D.
• Selina E Kim
• Sunny S Kim, M.D.
• Andrew King, DPT
• Justin King, PSY.D
• Margaret King, LADC
• Samantha King
• Kiran Agarwal Kingsley, DDS, MS

• Clinic/Center in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.