Charles E Kath DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

6980 Issued in MN

Legal business name

CHARLES E KATH DDS PA

Practice address

1021 Bandana Blvd E
Suite 100
St Paul, MN 55108-5109

Phone

(651) 645-0449

Fax

(651) 647-4951

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Charles E Kath, DDS

Title

Dentist

Phone

(651) 645-0449

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619064243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 BANDANA BLVD E",
            "address_2": "SUITE 100",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551085109",
            "telephone_number": "651-645-0449",
            "fax_number": "651-647-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 BANDANA BLVD E",
            "address_2": "SUITE 100",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551085109",
            "telephone_number": "651-645-0449",
            "fax_number": "651-647-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E KATH DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KATH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "651-645-0449",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "6980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in St Paul, MN
• Providers in St Paul, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.