Kolby Kulas, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D14832 Issued in MN

Practice address

17597 Cedar Ave
Lakeville, MN 55044-5269

Phone

(952) 431-6600

NPI assigned

Sep 27, 2022

Sex

Male

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

Locations

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.

• Northland Dental Partners, PLLC

  • General Practice Dentistry
  • Lakeville, MN
  • NPI 1225788953
  NPD
• Metro Dentalcare, PLC

  • Dentist
  • Lakeville, MN
  • NPI 1316913411
  NPD (past)

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1639893415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17597 CEDAR AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17597 CEDAR AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445269",
            "telephone_number": "952-431-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULAS",
        "first_name": "KOLBY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather R Krueger, MD
• Kelly Krueger, APRN, CNP
• Tyler Morgan Kruse, DC
• Kenchiro Kue, DO
• David Kuehl, PSYD LP
• Mallory Kurkosky, MA, LPCC
• Jennifer Jacqueline Felinski Kurtz-Port, PSYD
• Thomas J Kyllo, PT
• John E Laco, DPM
• Lake Marion Chiropractic Center PA

• Dentist in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.