Kim M Danielson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11043 Issued in MN

Practice address

716 14TH St
Cloquet, MN 55720-2406

Phone

(218) 879-5271

NPI assigned

Nov 6, 2006

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)

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.

• Lake Superior Dental Associates

  • General Practice Dentistry
  • Duluth, MN
  • NPI 1871672584
  NPD (past)
• North Country Dental

  • General Practice Dentistry
  • Cloquet, MN
  • NPI 1548873276
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497834626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 14TH ST",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557202406",
            "telephone_number": "218-879-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 14TH ST",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557202406",
            "telephone_number": "218-879-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELSON",
        "first_name": "KIM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "11043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKala Kaitlin Crotteau
• Joseph Curran
• Mya Marie Cuypers
• Daniel Patrick D'Allaird, LP
• Valerie Dahl
• Christine Davis, N.P.
• Donna Peacock Davis
• Alexis Decker
• Naomi Defoe
• Jennifer Deming, RN, CNP

• General Practice Dentistry in Cloquet, MN
• Providers in Cloquet, 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 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.

Verify at the official NPI Registry.