Individual provider Active NPI

Kathryn Jane Thorson, DDS

  • General Practice Dentistry
  • Saint Paul, MN
National Provider Identifier
1235650912
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D13806 Issued in MN
Practice address
2096 Ford Parkway
Saint Paul, MN 55116
Phone
(651) 237-9913
NPI assigned
Jul 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D13806 MN Primary

Addresses

Primary practice location

2096 Ford Parkway
Saint Paul, MN 55116

Mailing address

10700 France Ave S Ste 102
Bloomington, MN 55431-3693
Phone (847) 903-1980

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

LicenseStateTypeSpecialty
D13806MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Dental Specialties Inc CurrentSince May 8, 2022 Accepting new patients
Bloomington Smiles Dentistry, PC General Practice Past Accepting new patients
Dentists of Highland Park, PC PastSince May 8, 2022 Accepting new patients

Locations

2096 Ford Pkwy
Saint Paul, MN 55116
Phone (651) 237-9913

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1235650912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 FRANCE AVE S STE 102",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554313693",
            "telephone_number": "847-903-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2096 FORD PARKWAY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55116",
            "telephone_number": "651-237-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORSON",
        "first_name": "KATHRYN",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.