Kevin Duque, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

10517 Issued in IA

Practice address

720 Tornado Dr
Storm Lake, IA 50588-2048

Phone

(712) 730-3015

NPI assigned

Jun 24, 2026

Sex

Male

Sole proprietor

Yes

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

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.

• Kevin Duque, DDS PLLC

  • Dental Clinic/Center
  • Storm Lake, IA
  • NPI 1003732553
  NPD (past) Authorized official

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

{
    "created_epoch": "1782259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1396661328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 W 4TH ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881631",
            "telephone_number": "712-730-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 TORNADO DR",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505882048",
            "telephone_number": "712-730-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUQUE",
        "first_name": "KEVIN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-24",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "10517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel E. Douglas, D.D.S.
• DP & B Inc
• Dr. John a. Vaubel, P.C.
• Timm Dunn, R.PH
• Elizabeth Joy Dupic, M.D.
• Jessica Lee Edwards, TLMHC
• Steven Dean Edwards, LMHC, IADC
• Mallory Eilts-Bright
• Jacqueline Ann Ellison, DNP, ARNP, FNP-C
• Essilor Laboratories of America, Inc

• Dentist in Storm Lake, IA
• Providers in Storm Lake, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.