Individual provider Active NPI

Ramneet Kaur

  • Dentist
  • Eden Prairie, MN
National Provider Identifier
1578042693
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D14306 Issued in MN
Practice address
13000 Technology Dr
Eden Prairie, MN 55344
Phone
(952) 562-1463
NPI assigned
Aug 9, 2018
Last updated
Oct 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D14306 MN Primary
General Practice Dentistry 1223G0001X 34311 TX

Addresses

Primary practice location

13000 Technology Dr
Eden Prairie, MN 55344

Mailing address

6020 York Ave S
Edina, MN 55410-2828

Other practice location 1

2585 W Irving Blvd Ste 150
Irving, TX 75061-4230
Phone (952) 847-0647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231003000820 MN Practitioner - Dentist 9234583725 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D14306MNMDDentist
34311TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Health Center General Practice CurrentSince Oct 1, 2023 Accepting new patients
Open Door Health Center CurrentSince Oct 1, 2023 Accepting new patients

Locations

309 Holly Ln
Mankato, MN 56001
Phone (507) 388-2120

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1578042693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 YORK AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554102828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 TECHNOLOGY DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "55344",
            "telephone_number": "952-562-1463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2585 W Irving Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750614230",
            "country_code": "US",
            "telephone_number": "952-847-0647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUR",
        "first_name": "RAMNEET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14306",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34311",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.