Kinsley Jane Kehlenbeck, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14909 Issued in MN

Practice address

18230 Zane St NW
Elk River, MN 55330-4501

Phone

(763) 201-1313

NPI assigned

Jun 9, 2023

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.

• PDG, PA

  • Dental Clinic/Center
  • Elk River, MN
  • NPI 1285170464
  NPD (past)

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1558045609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 IDAHO AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554283920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18230 ZANE ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553304501",
            "telephone_number": "763-201-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHLENBECK",
        "first_name": "KINSLEY",
        "middle_name": "JANE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Raymond Kaminski, PHARMACIST
• Victoria Marie Kapaun
• Kathryn Kauffman, DO
• Sheila Moraa Keago
• Jessica Jeanne Kegley, LMFT
• Drew Kelly
• Jessica Kesinger, PA-C
• Ashley Nicole Kieffer
• Laurel Anae Kimpton, MPS, LADC
• Benjamin Robert Kinderman, D.C.

• General Practice Dentistry in Elk River, MN
• Providers in Elk River, 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 9, 2023; 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.