Active NPI
Kathleen Logan Rundquist, DDS
- General Practice Dentistry
- Burnsville, MN
National Provider Identifier
1396802740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D10682
- Practice address
- 50 W Nicollet Blvd
Burnsville, MN 55337-4524 - Phone
- (952) 892-6010
- Fax
- (952) 891-0203
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D10682 | MN | Primary |
Addresses
Primary practice location
50 W Nicollet Blvd
Burnsville, MN 55337-4524
Mailing address
5032 Morgan Ave S
Minneapolis, MN 55419-1024
Phone (612) 925-3559
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 |
|---|---|---|---|
| D10682 | MN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland Dental Partners, PLLC | General Practice | Past | Accepting new patients |
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.
-
dba Metro Dentalcare
- General Practice Dentistry
- Burnsville, MN
- NPI 1750538930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396802740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5032 MORGAN AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554191024",
"telephone_number": "612-925-3559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 W NICOLLET BLVD",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374524",
"telephone_number": "952-892-6010",
"fax_number": "952-891-0203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNDQUIST",
"first_name": "KATHLEEN",
"middle_name": "LOGAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D10682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burnsville, 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.