Individual provider Active NPI

Dennis Lee Kavio, DDS

  • Dentist
  • Eden Prairie, MN
National Provider Identifier
1376550996
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D8942 Issued in MN
Practice address
9613 Anderson Lakes Pkwy
Eden Prairie, MN 55344
Phone
(952) 941-0470
Fax
(952) 941-7613
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D8942 MN Primary

Addresses

Primary practice location

9613 Anderson Lakes Pkwy
Eden Prairie, MN 55344

Mailing address

9613 Anderson Lakes Pkwy
Eden Prairie, MN 55344
Phone (952) 941-0470

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

LicenseStateTypeSpecialty
D8942MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis L Kaivo DDS PA CurrentSince Sep 6, 2020 Accepting new patients
Eden Lakes Dental LLC PastSince May 14, 2023 Accepting new patients

Locations

9613 Anderson Lakes Pkwy
Eden Prairie, MN 55344
Phone (952) 941-0470

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376550996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 ANDERSON LAKES PKWY",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "55344",
            "telephone_number": "952-941-0470",
            "fax_number": "952-941-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9613 ANDERSON LAKES PKWY",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "55344",
            "telephone_number": "952-941-0470",
            "fax_number": "952-941-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVIO",
        "first_name": "DENNIS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D8942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.