Kari Noelle Fletcher, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13553 Issued in MN

Practice address

6203 Dell Rd
Eden Prairie, MN 55346-1122

Phone

(952) 460-9100

NPI assigned

Jun 17, 2015

Sex

Female

Sole proprietor

No

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

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.

• Omega Dental Care, P.a.

  • Dental Clinic/Center
  • Eden Prairie, MN
  • NPI 1003429515
  NPD (past)

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1417338294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6203 DELL RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553461122",
            "telephone_number": "952-460-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6203 DELL RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553461122",
            "telephone_number": "952-460-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "KARI",
        "middle_name": "NOELLE",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Fitzgerald
• Susan Kay Fix, C.P.N.P.
• Amanda Beth Kack Flannery, CPNP
• Richard Bruce Flatz
• Cassandra Fleming
• Florena LLC
• Chelsea Flores, HIS
• Olinda Floro, D.C.
• Flying Cloud Physical Therapy, P.a.
• Flying Cloud Spine & Sport, P.a.

• General Practice Dentistry in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.