Individual provider Active NPI

Kayla Marie Harder, RDH, DT

  • Dental Therapist
  • Savage, MN
National Provider Identifier
1750896510
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental TherapistTaxonomy code 125J00000X
License
DT74 Issued in MN
Practice address
13899 Hwy 13 S
Savage, MN 55378-2135
Phone
(952) 440-2292
NPI assigned
Dec 2, 2017
Last updated
Jul 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X H8870 MN
Dental Therapist 125J00000X DT74 MN Primary

Addresses

Primary practice location

13899 Hwy 13 S
Savage, MN 55378-2135

Mailing address

13899 Highway 13 S
Savage, MN 55378-2135

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

LicenseStateTypeSpecialty
H8870MNMDDental Hygienist
DT74MNMDDental Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Delivery Systems of Maple Grove LLC CurrentSince May 18, 2025 Accepting new patients
Dental Delivery Systems, PA PastSince Jul 27, 2020 Accepting new patients

Locations

13899 Highway 13 S
Savage, MN 55378
Phone (952) 440-2292

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1512172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1750896510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13899 HIGHWAY 13 S",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13899 HWY 13 S",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782135",
            "telephone_number": "952-440-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDER",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "credential": "RDH, DT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-02",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MN",
            "license": "H8870",
            "primary": false
        },
        {
            "code": "125J00000X",
            "taxonomy_group": "",
            "desc": "Dental Therapist",
            "state": "MN",
            "license": "DT74",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.