Active NPI
Kristen Sheryl-Swenby Eklund, DDS
- General Practice Dentistry
- Hugo, MN
National Provider Identifier
1346418571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D11184
- Practice address
- 5677 147TH St N
Hugo, MN 55038-9302 - Phone
- (651) 426-1639
- Fax
- (651) 407-0863
- NPI assigned
- Feb 11, 2008
- Last updated
- Feb 11, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D11184 | MN | Primary |
Addresses
Primary practice location
5677 147TH St N
Hugo, MN 55038-9302
Mailing address
5677 147TH St N
PO Box 17
Hugo, MN 55038-9302
Phone (651) 426-1639
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D11184 | MN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hugo Dental Care PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Hugo, MN
- NPI 1134284631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1346418571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5677 147TH ST N",
"address_2": "PO BOX 17",
"city": "HUGO",
"state": "MN",
"postal_code": "550389302",
"telephone_number": "651-426-1639",
"fax_number": "651-407-0863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5677 147TH ST N",
"city": "HUGO",
"state": "MN",
"postal_code": "550389302",
"telephone_number": "651-426-1639",
"fax_number": "651-407-0863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EKLUND",
"first_name": "KRISTEN",
"middle_name": "SHERYL-SWENBY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-11",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D11184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hugo, MN
- Cloey Amilia Dmytruk
- Dr. Petronack & Associates, Optometrists, Inc. (Hugo Optical)
- Drytech Co. LLC
- Natalie Grace Dumas
- Laura Catherine Dustrud
- Rizzah Esteban
- Jill K Fahnhorst, PT
- Fairview Clinics (M Health Fairview Clinic - Hugo)
- Fairview Pharmacy Services LLC (Fairview Pharmacy Hugo)
- Fairview Pharmacy Services LLC (Entira Family Clinic MTM- Hugo)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.