Shimrit Naomi Kate Cassuto, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D15273 Issued in MN

Practice address

8454 Highway 7
St Louis Park, MN 55426-3900

Phone

(651) 461-9619

Fax

(952) 933-3732

NPI assigned

Jun 11, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shimrit Naomi Kate Duvall Other name

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 and National Provider Directory roles.

• Knollwood Dentistry, PC

  • General Practice Dentistry
  • St. Louis Park, MN
  • NPI 1497149496
  NPD (past)

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1770478752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 MINNETONKA BLVD APT 19",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164077",
            "telephone_number": "612-296-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8454 HIGHWAY 7",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554263900",
            "telephone_number": "651-461-9619",
            "fax_number": "952-933-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSUTO",
        "first_name": "SHIMRIT",
        "middle_name": "NAOMI KATE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D15273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIMRIT",
            "last_name": "DUVALL",
            "middle_name": "NAOMI KATE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jason Christopher Carvalho, M.D.
• Hannah Elizabeth Casavant
• John Casnovsky, DO
• Jessica M Cassidy, PT
• Cassies Kids Clinic
• James N Cavallaro, PA-C
• Hannah Jade Cavis
• Cdi Twin Cities ASC LLC
• Dara Ceaser, MSW, LICSW
• Cedar Hill Therapy, LLC

• Dentist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.