Kevin J Torbenson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

8804 Issued in MN

Practice address

608 E Madison Ave
Mankato, MN 56001-6112

Phone

(507) 345-1284

Fax

(507) 345-5723

NPI assigned

Oct 24, 2006

Last updated

Mar 7, 2023By the provider in NPPES

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 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Madison Avenue Family Dental Center, LTD

  dba Advanced Dental Solutions

  • Dentist
  • Mankato, MN
  • NPI 1912920059
  NPD (past) Authorized official

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1710061163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46675 CAPE HORN RD",
            "city": "CLEVELAND",
            "state": "MN",
            "postal_code": "560174537",
            "telephone_number": "507-934-7392",
            "fax_number": "507-345-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E MADISON AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016112",
            "telephone_number": "507-345-1284",
            "fax_number": "507-345-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORBENSON",
        "first_name": "KEVIN",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "8804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "8804",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eva-Noelle Taylor Todd
• Jacquelin Ann Tohal, LICSW
• Amber Jacklyn Tokie
• Tom Allen, PHD, PLLC
• Tom L Pooley
• Jennifer Torgerson
• Logan Russell Torgerson
• Tammy Rae Torgerson
• Jared Torkelson, PA-C
• Dustin Michael Torvick, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.