Individual provider Active NPI

Kari Lynn Seaverson, D.D.S.

  • Dentist
  • Hopkins, MN
National Provider Identifier
1376760256
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D11452 Issued in MN
Practice address
1401 Mainstreet
Hopkins, MN 55343-7404
Phone
(952) 475-1101
NPI assigned
Apr 20, 2007
Sex
Female
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 D11452 MN Primary

Addresses

Primary practice location

1401 Mainstreet
Hopkins, MN 55343-7404

Mailing address

1361 Romeo CT
Chaska, MN 55318-4523
Phone (952) 443-3981

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
D11452MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kari L Seaverson DDS LLC Dba Tooth by the Lake CurrentSince Sep 6, 2020 Accepting new patients

Locations

1401 Mainstreet
Hopkins, MN 55343
Phone (952) 448-4151

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376760256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 ROMEO CT",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553184523",
            "telephone_number": "952-443-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MAINSTREET",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437404",
            "telephone_number": "952-475-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAVERSON",
        "first_name": "KARI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkins, 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.