Peter Kuefler, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14432 Issued in MN

Practice address

290 Eagle Lake Rd N
Big Lake, MN 55309-9243

Phone

(763) 263-3262

NPI assigned

Jul 16, 2020

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 and National Provider Directory roles.

• Corner Oaks Family Dental PLLC

  • Dental Clinic/Center
  • Big Lake, MN
  • NPI 1346049186
  NPD Authorized official

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1366050288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 EAGLE LAKE RD N",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553099243",
            "telephone_number": "763-263-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 EAGLE LAKE RD N",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553099243",
            "telephone_number": "763-263-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUEFLER",
        "first_name": "PETER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKayla Lynn Kent, MSW, LGSW
• Curtis Kopotic, ATC
• Sharon M Kramer, LMFT
• KS Holdings PA
• Morgan Kucala, CNP
• Louann Larson
• Jennifer Ann Lawrence, MA LMFT
• Trudy Lee Legatt, SLP
• Patrick Liebl
• Molly Lieser, MA, LPCC

• General Practice Dentistry in Big Lake, MN
• Providers in Big Lake, 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 16, 2020; 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.