Kass Clinics, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

33397 Issued in MN

Legal business name

KASS CLINICS, LLC

Practice address

7104 W Lake St
Suite 100
St Louis Park, MN 55426-4417

Phone

(952) 926-3311

Fax

(952) 922-4492

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sidney W Kass, MD

Title

Owner

Phone

(952) 926-3311

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Center for Electrolysis Skin & Laser Therapy Former legal business name

Locations

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1518979285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 GLENHURST AVE",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163909",
            "telephone_number": "952-926-3311",
            "fax_number": "952-922-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7104 W LAKE ST",
            "address_2": "SUITE 100",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264417",
            "telephone_number": "952-926-3311",
            "fax_number": "952-922-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASS CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "KASS",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-926-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MN",
            "license": "33397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "33G01TW",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Electrolysis Skin & Laser Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Taylor Karrow, CNP
• Karuna Healthcare US, LLC
• John R Kasmirski, M.D.
• Artan Kaso, M.D.
• Cassandra Renae Kasper
• Michael Anne Kaszuba
• Salim A Kathawalla, M.D.
• Jenny Mae Katlack, COTA/L
• Gaurav Reddy Katta, MD
• David Allen Katz, DDS

• Specialist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.