Kurtis Steven Huether, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D11497 Issued in MN

Practice address

3715 Bridge St NW
St Francis, MN 55070

Phone

(763) 753-1900

Fax

(763) 753-4220

NPI assigned

Dec 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• St Francis Dental Care PA

  • General Practice Dentistry
  • Saint Francis, MN
  • NPI 1508042672
  NPD (past) Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255499547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 156",
            "address_2": "3715 BRIDGE ST NW",
            "city": "ST FRANCIS",
            "state": "MN",
            "postal_code": "55070",
            "telephone_number": "763-753-1900",
            "fax_number": "763-753-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 BRIDGE ST NW",
            "city": "ST FRANCIS",
            "state": "MN",
            "postal_code": "55070",
            "telephone_number": "763-753-1900",
            "fax_number": "763-753-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUETHER",
        "first_name": "KURTIS",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Goudge, MA, LPCC
• Matthew Haugen, CMT
• Katie Beth Hofkes, D.C.
• Ashlee Hommes
• Honesty Home Care LLC
• Isd 15 St. Francis Public Schools
• Angelina P Ivanishin
• Lindsey Johnson, RPT
• Mary J Johnson, DC
• Michelle Ann Johnson, PHARMD, RPH

• Dentist in Saint Francis, MN
• Providers in Saint Francis, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.