Dennis L Kaivo DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENNIS L KAIVO DDS PA

Practice address

9613 Anderson Lakes Pkwy
Eden Prairie, MN 55344-4155

Phone

(952) 947-0470

NPI assigned

Sep 3, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Dennis L Kaivo, DDS

Title

Owner

Phone

(952) 941-0470

Specialties & licenses 1

Addresses

Other names 1

• Preserve Parkway Dental Doing business as

Practitioners 2

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

• Dennis Lee Kavio, DDS

  • Dentist
  • Eden Prairie, MN
  • NPI 1376550996
  NPD
• Jennifer Ann Hummel, D.D.S.

  • Dentist
  • Eden Prairie, MN
  • NPI 1790912863
  NPD (past)

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1245844588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 ANDERSON LAKES PKWY",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553444155",
            "telephone_number": "952-947-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9613 ANDERSON LAKES PKWY",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553444155",
            "telephone_number": "952-947-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS L KAIVO DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "KAIVO",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-941-0470",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preserve Parkway Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Delta Home Health Care, LLC
• Frederick E Demeuse, PAC
• Sophia Ann Demuth
• Laura Deng, DPT
• James E Denier, M.D.
• Dentists of Eden Prairie, PC
• Madeleine Grace Derbis
• Robert E Derr, DDS
• Chelsea Devoir, M.ED, BCBA
• Brandi Kaye Dewitt

• General Practice Dentistry in Eden Prairie, MN
• Providers in Eden Prairie, 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 Sep 3, 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.

Verify at the official NPI Registry.