Individual provider Active NPI

Keith Douglas Schulhof

  • Dentist
  • St Louis Park, MN
National Provider Identifier
1285869081
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D13648 Issued in MN
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200304000165 MN Order and Referring Only - DentistPractitioner - Dentist 2769819721

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D13648MNMDDentist
019027932ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Schulhof Honeycomb PLLC Current Accepting new patients
Family Orthodontic Specialists PLC PastSince Apr 24, 2022 Accepting new patients
Grand Avenue Smiles General Practice PastSince Aug 11, 2019 Accepting new patients
Northland Dental Partners, PLLC General Practice PastSince Mar 20, 2022 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.

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

Verify at the official NPI Registry.