Julee Ann Kingsley, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12570 Issued in MN

Practice address

1008 12TH St SE
Rochester, MN 55904-5030

Phone

(507) 282-6448

Fax

(507) 287-8846

NPI assigned

Jun 18, 2008

Last updated

Jun 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Sep 15, 2017 through Sep 15, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elgin Family Dentistry

  • General Practice Dentistry
  • Elgin, MN
  • NPI 1659650893
  NPD (past) Authorized official
• 12TH Street Dental Office PA

  • Dentist
  • Rochester, MN
  • NPI 1043374176
  NPD (past)

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1235390774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 12TH ST SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559045030",
            "telephone_number": "507-282-6448",
            "fax_number": "507-287-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 12TH ST SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559045030",
            "telephone_number": "507-282-6448",
            "fax_number": "507-287-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSLEY",
        "first_name": "JULEE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reba F King, MD
• Rebecca F King, CRNA
• Rebecca Leigh King, MD
• Dustin Wayne Kingsley
• Jayden Kingsley
• Ryan Christopher Kingsley, PA
• Stephanie S Kingsley, NP
• Deah Cain Kinion, L. AC.
• Melissa Sue Kinney, SLP
• Ebrima Kinteh, MD

• General Practice Dentistry in Rochester, MN
• Providers in Rochester, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.