Kevan Troy Cahow, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10170 Issued in MN

Practice address

5237 Douglas Dr N
Crystal, MN 55429-3103

Phone

(763) 536-1118

Fax

(763) 536-2244

NPI assigned

Dec 6, 2006

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

Other identifiers 2

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

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.

• Twin Smiles

  • Dentist
  • Crystal, MN
  • NPI 1326479288
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1700945797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5237 DOUGLAS DR N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554293103",
            "telephone_number": "763-536-1118",
            "fax_number": "763-536-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5237 DOUGLAS DR N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554293103",
            "telephone_number": "763-536-1118",
            "fax_number": "763-536-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHOW",
        "first_name": "KEVAN",
        "middle_name": "TROY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710515100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPIN",
            "identifier": "7D756",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Elisabeth Bruehl, OD
• Sara Lynn Budhoo, PA-C
• Sean Burns
• Jennifer Anne Burton, PHARMD
• C&M Dental PLLC
• Tiffany Calfee, DPT
• Cana Center for Africans New to America
• Cana-Center for Africans Now in America, Inc.
• Carepoint Dental Crystal
• Naomi Cargeor

• General Practice Dentistry in Crystal, MN
• Providers in Crystal, 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 Dec 11, 2013; 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.