Matthew Michael Karloff

Primary specialty

DentistTaxonomy code 122300000X

License

D14610 Issued in MN

Practice address

5901 94TH Ave N Ste 105
Brooklyn Park, MN 55443-2389

Phone

(763) 717-0020

Fax

(763) 432-0821

NPI assigned

Jun 30, 2021

Last updated

Jun 30, 2021By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Minnesota Dental Professionals, P.C.

  dba Dental Care of Brooklyn Park

  • General Practice Dentistry
  • Brooklyn Park, MN
  • NPI 1225696925
  NPD

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1306416318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 94TH AVE N STE 105",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432389",
            "telephone_number": "763-717-0020",
            "fax_number": "763-432-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 94TH AVE N STE 105",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432389",
            "telephone_number": "763-717-0020",
            "fax_number": "763-432-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARLOFF",
        "first_name": "MATTHEW",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew John Kalb
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• Makavie J Kanneh
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• Albertine Karpeh
• Hebah Fahmi Katabay
• Karvee M Kawalawu, LICSW
• Kayli Residence LLC
• Gary Paul Keifenheim, MSW, LICSW

• Dentist in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.