Kraig Kottemann, D.M.D., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D12473 Issued in MN

Practice address

2765 Kelley Pkwy
140
Orono, MN 55356-5800

Phone

(763) 420-6834

Fax

(763) 420-5642

NPI assigned

Jul 9, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Kottemann Orthodontics PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Maple Grove, MN
  • NPI 1265535868
  NPD (past)

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1851520092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13998 MAPLE KNOLL WAY",
            "address_2": "102",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697004",
            "telephone_number": "763-420-6824",
            "fax_number": "763-420-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 KELLEY PKWY",
            "address_2": "140",
            "city": "ORONO",
            "state": "MN",
            "postal_code": "553565800",
            "telephone_number": "763-420-6834",
            "fax_number": "763-420-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTEMANN",
        "first_name": "KRAIG",
        "name_prefix": "Dr.",
        "credential": "D.M.D.,  M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "D12473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina McCullough DDS PLLC
• Melissa Beth Cummings, APN-FNP-C
• Heidi Leigh Foster, M.D.
• Nicholas John Froehling, DC
• Brianna B. Hammer, D.D.S.
• William Maclachlan
• Maple Plain Dental, PLLC
• Christine Burnell Marston, PH.D.
• Thomas David Mazer, M.D.
• Orono Dental Care PC

• Orthodontics and Dentofacial Orthopedics Dentistry in Orono, MN
• Providers in Orono, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.