Kathrynne Marie Dryke, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11144 Issued in MN

Practice address

925 E Superior St
101
Duluth, MN 55802-2238

Phone

(218) 728-4488

Fax

(218) 728-1383

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295880045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 E SUPERIOR ST",
            "address_2": "101",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022238",
            "telephone_number": "218-728-4488",
            "fax_number": "218-728-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E SUPERIOR ST",
            "address_2": "101",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022238",
            "telephone_number": "218-728-4488",
            "fax_number": "218-728-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRYKE",
        "first_name": "KATHRYNNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Driving to Inspire LLC
• DRN Enterprises, Inc.
• Megan Drommerhausen
• Nancy Joyce Dronen
• Dawn E Drotar, MD
• Gregory Mark Dubla, RN,CRNA
• Maddelyn Dudley
• Cortney Del Duffy, PH.D.
• Mohannad Dugum, M.D.
• Linda Lou Duhaime, M.S.W.

• General Practice Dentistry in Duluth, MN
• Providers in Duluth, 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 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.