Deepika Kumar, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13897 Issued in MN

Practice address

4140 Thielman LN Ste 302
Saint Cloud, MN 56301-3897

Phone

(320) 252-7752

Fax

(320) 252-2289

NPI assigned

Jul 28, 2017

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

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.

• Modern Dental Professionals, MN PC

  dba Midwest Dental - St. Cloud

  • Dentist
  • Saint Cloud, MN
  • NPI 1558643817
  NPD (past)

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1619491933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 THIELMAN LN STE 302",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013897",
            "telephone_number": "320-252-7752",
            "fax_number": "320-252-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 THIELMAN LN STE 302",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013897",
            "telephone_number": "320-252-7752",
            "fax_number": "320-252-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "DEEPIKA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad W Kuhlman, PHD LP
• Michelle Kuhlmann, OTR
• Alyssa Ann Kukert
• Payton Kuklok
• Kathleen A Kulus, MD
• Hawo O Kunnow
• Belle C Kunstleben, MSW, LICSW
• Jacqueline Ann Kurth, LPN
• Lacy Kurtzhals
• Kristin Kvaal

• General Practice Dentistry in Saint Cloud, MN
• Providers in Saint Cloud, 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 Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.