Individual provider Active NPI

Kadiatou Traore, DDS

  • Dentist
  • Brooklyn Park, MN
National Provider Identifier
1578354783
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D15247 Issued in MN
Practice address
7960 Brooklyn Blvd
Brooklyn Park, MN 55445-2722
Phone
(763) 710-9937
NPI assigned
May 15, 2025
Last updated
May 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D15247 MN Primary

Addresses

Primary practice location

7960 Brooklyn Blvd
Brooklyn Park, MN 55445-2722

Mailing address

12144 Kerry St NW
Coon Rapids, MN 55433-1775
Phone (317) 440-7312

Other practice location 1

21897 S Diamond Lake Rd
Rogers, MN 55374-4642
Phone (763) 657-0872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D15247MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Today's Dental St.Cloud SC PastSince May 18, 2025 Accepting new patients
Today's Dental PastSince May 18, 2025 Accepting new patients

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": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1578354783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12144 KERRY ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554331775",
            "telephone_number": "317-440-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 BROOKLYN BLVD",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452722",
            "telephone_number": "763-710-9937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21897 S Diamond Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "MN",
            "postal_code": "553744642",
            "country_code": "US",
            "telephone_number": "763-657-0872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAORE",
        "first_name": "KADIATOU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D15247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.