Active NPI
Kishan Patel
- Dentist
- Saint Cloud, MN
National Provider Identifier
1639979503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D15347
- Practice address
- 2860 W Division St Ste 102
Saint Cloud, MN 56301-7330 - Phone
- (320) 200-9011
- NPI assigned
- Mar 18, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D15347 | MN | Primary |
Addresses
Primary practice location
2860 W Division St Ste 102
Saint Cloud, MN 56301-7330
Mailing address
2860 W Division St Ste 102
Saint Cloud, MN 56301-7330
Phone (763) 218-9700
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
| License | State | Type | Specialty |
|---|---|---|---|
| D15347 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kahn Dental PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Saint Cloud, MN
- NPI 1407219306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1639979503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 W DIVISION ST STE 102",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563017330",
"telephone_number": "763-218-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 W DIVISION ST STE 102",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563017330",
"telephone_number": "320-200-9011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KISHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-18",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D15347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.