Active NPI
Lois J Kehl, DDS
- Dentist
- Saint Paul, MN
National Provider Identifier
1356433346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D10160
- Practice address
- 2550 University Ave W
Suite 189S
Saint Paul, MN 55114-1052 - Phone
- (651) 332-7474
- Fax
- (651) 332-7475
- NPI assigned
- Sep 28, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D10160 | MN | Primary |
Addresses
Primary practice location
2550 University Ave W
Suite 189S
Saint Paul, MN 55114-1052
Mailing address
2550 University Ave W
Suite 189S
Saint Paul, MN 55114-1052
Phone (651) 332-7474
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24A16KE | Other | MN | BLUE CROSS |
| 296025700 | Medicaid | MN | |
| 43-41300 | Other | MN | MEDICA |
| 1011992 | Other | MN | PREFERRED ONE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | athenanet | Health Information Exchange (HIE) |
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
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2550 University Ave W
Suite 189S
Saint Paul, MN 55114-2001
Phone (651) 332-7474
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D10160 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Head and Neck Pain Clinic, PA | Current | Accepting new patients | |
| Minnesota Head and Neck Pain Clinic, PA | Current | Accepting new patients |
Locations
3475 Plymouth Blvd
Ste 200
Plymouth, MN 55447
Phone (763) 577-2484
2550 University Ave W
Ste 189S
Saint Paul, MN 55114
Phone (651) 332-7474
Interoperability endpoints
- lois.kehl.1@13597.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1356433346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 UNIVERSITY AVE W",
"address_2": "SUITE 189S",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141052",
"telephone_number": "651-332-7474",
"fax_number": "651-332-7475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 UNIVERSITY AVE W",
"address_2": "SUITE 189S",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141052",
"telephone_number": "651-332-7474",
"fax_number": "651-332-7475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEHL",
"first_name": "LOIS",
"middle_name": "J",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D10160",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "24A16KE",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "296025700",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "43-41300",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1011992",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "athenanet",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "electronic health record",
"address_1": "2550 University Ave W",
"address_2": "Suite 189S",
"city": "Saint Paul",
"state": "MN",
"country_code": "US",
"postal_code": "551141052",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.