NPIMap

Organization Active NPI

Gregory H. Kaake, D.D.S. P.a.

Doing business as Miller Hill Dental

  • Dental Clinic/Center
  • Duluth, MN
National Provider Identifier
1417210576
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D8798 Issued in MN
Legal business name
GREGORY H. KAAKE, D.D.S. P.A.
Doing business as
Miller Hill Dental
Practice address
1832 Maple Grove Rd
Duluth, MN 55811-1811
Phone
(218) 722-1070
Fax
(218) 733-0959
NPI assigned
Jun 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Authorized official

Name
Gregory H Kaake
Title
President
Phone
(218) 722-1070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D8798 MN Primary

Addresses

Primary practice location

1832 Maple Grove Rd
Duluth, MN 55811-1811

Mailing address

1832 Maple Grove Rd
Duluth, MN 55811-1811
Phone (218) 722-1070

Other names 1

  • Miller Hill Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1417210576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 MAPLE GROVE RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558111811",
            "telephone_number": "218-722-1070",
            "fax_number": "218-733-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 MAPLE GROVE RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558111811",
            "telephone_number": "218-722-1070",
            "fax_number": "218-733-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY H. KAAKE, D.D.S. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "KAAKE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-722-1070"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D8798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller Hill Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.