Katherine Blubaugh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11836 Issued in MN

Practice address

3408 Fairlawn Dr
Minnetonka, MN 55345-1217

Phone

(612) 834-5283

NPI assigned

Aug 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Katherine Mason Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1437341229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 FAIRLAWN DR",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553451217",
            "telephone_number": "612-834-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 FAIRLAWN DR",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553451217",
            "telephone_number": "612-834-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUBAUGH",
        "first_name": "KATHERINE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "11836",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "11836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "MASON",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Keith B Block, LICSW
• Lisa M Block, CRNA
• Jenna Isabelle Bloom
• Blossom Whole Family Therapy & Child Psychology Center, PLLC
• Jillian Marie Blount, MOT
• Blue Ridge Dental Center PA
• Katelyn Blume
• Nancy Adams Blume, LP
• Brittney Bobb, NP
• Michelle A. Bochert, M.D.

• General Practice Dentistry in Minnetonka, MN
• Providers in Minnetonka, 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 Aug 29, 2016; 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.