Nipa Shailesh Kulenkamp, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D14108 Issued in MN

Practice address

5220 Central Ave NE Ste 240
Columbia Heights, MN 55421

Phone

(763) 275-1319

NPI assigned

Jul 16, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Columbia Heights Dentistry, PC

  • General Practice Dentistry
  • Columbia Heights, MN
  • NPI 1982060430
  NPD (past)

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1386085587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 S 2ND ST UNIT 714",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554152623",
            "telephone_number": "702-332-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 CENTRAL AVE NE STE 240",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "55421",
            "telephone_number": "763-275-1319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 N Clark St",
            "address_2": "Ste 600",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606544712",
            "country_code": "US",
            "telephone_number": "312-274-4524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULENKAMP",
        "first_name": "NIPA",
        "middle_name": "SHAILESH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6440",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney A Karalus, DPT
• Heidi Lee Kastern
• Keystone Languages LLC
• Faryal Khan, LMFT
• Sotricia King
• Josseline Ladjo
• Andrew Lake, LPN
• Lakes Autism Center
• Mark W Lampman, DC
• Jason Thomas Lee, L.AC

• Dentist in Columbia Heights, MN
• Providers in Columbia Heights, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.