Active NPI
Garrett Joseph Kovar, D.D.S.
- Dentist
- Waite Park, MN
National Provider Identifier
1366330623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D15327
- Practice address
- 758 1St St S Ste 101
Waite Park, MN 56387-1315 - Phone
- (320) 253-1011
- NPI assigned
- Jun 25, 2025
- Sex
- Male
- 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 | D15327 | MN | Primary |
Addresses
Primary practice location
758 1St St S Ste 101
Waite Park, MN 56387-1315
Mailing address
758 1St St S Ste 101
Waite Park, MN 56387-1315
Phone (320) 253-1011
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 |
|---|---|---|---|
| D15327 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1366330623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "758 1ST ST S STE 101",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563871315",
"telephone_number": "320-253-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "758 1ST ST S STE 101",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563871315",
"telephone_number": "320-253-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVAR",
"first_name": "GARRETT",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-25",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D15327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waite Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.