Active NPI
Kathryn Connell, DDS
- Dentist
- Woodbury, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D13451
- Practice address
- 8325 Seasons Pkwy Ste 103
Woodbury, MN 55125-3602 - Phone
- (516) 702-5848
- NPI assigned
- Jul 3, 2014
- Last updated
- Dec 20, 2018
- Sex
- Female
- 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 | D13451 | MN | Primary |
Addresses
Primary practice location
8325 Seasons Pkwy Ste 103
Woodbury, MN 55125-3602
Mailing address
8325 Seasons Pkwy Ste 103
Woodbury, MN 55125-3602
Phone (516) 702-5848
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D13451 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Dentist | Current | Accepting new patients |
Locations
3930 Northwoods Dr
Saint Paul, MN 55112
Phone (651) 490-6775
8325 Seasons Pkwy
Ste 103
Woodbury, MN 55125
Phone (651) 702-5848
Organizations & group practices 3
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.
-
dba HealthPartners Medical Group
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
dba HealthPartners Arden Hills Dental Clinic
- General Practice Dentistry
- Arden Hills, MN
- NPI 1114072071
-
dba HealthPartners Midway Residency Dental
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1740696327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8325 SEASONS PKWY STE 103",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551253602",
"telephone_number": "516-702-5848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8325 SEASONS PKWY STE 103",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551253602",
"telephone_number": "516-702-5848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELL",
"first_name": "KATHRYN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-03",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D13451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.