Active NPI
Keith Douglas Schulhof
- Dentist
- St Louis Park, MN
National Provider Identifier
1285869081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D13648
- Practice address
- 4959 Excelsior Blvd Ste 200
Saint Louis Park, MN 55416-3003 - Phone
- (952) 920-8774
- NPI assigned
- May 21, 2009
- Last updated
- Jun 9, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D13648 | MN | Primary |
Addresses
Primary practice location
4959 Excelsior Blvd Ste 200
Saint Louis Park, MN 55416-3003
Mailing address
4959 Excelsior Blvd Ste 200
Saint Louis Park, MN 55416-3003
Phone (952) 920-8774
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200304000165 | MN | Order and Referring Only - Dentist | 2769819721 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D13648 | MN | MD | Dentist |
| 019027932 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schulhof Honeycomb PLLC | Current | Accepting new patients | |
| Family Orthodontic Specialists PLC | Past | Accepting new patients | |
| Grand Avenue Smiles | General Practice | Past | Accepting new patients |
| Northland Dental Partners, PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Dental Clinic/Center
- Minneapolis, MN
- NPI 1972437838
-
dba Woodlake Orthodontics St Louis Park
- Orthodontics and Dentofacial Orthopedics Dentistry
- St Louis Park, MN
- NPI 1104569839
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1437704020
-
dba Metro Dentalcare St. Louis Park
- General Practice Dentistry
- St Louis Park, MN
- NPI 1801043096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1285869081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4959 EXCELSIOR BLVD STE 200",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554163003",
"telephone_number": "952-920-8774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4959 EXCELSIOR BLVD STE 200",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554163003",
"telephone_number": "952-920-8774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULHOF",
"first_name": "KEITH",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-21",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D13648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.