Megan Kack, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D13539 Issued in MN

Practice address

530 W Pleasant St
Mankato, MN 56001-0438

Phone

(507) 345-6478

NPI assigned

Aug 11, 2015

Last updated

Mar 6, 2016By the provider in NPPES

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

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

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.

• Modern Dental Professionals Minnesota PC

  dba Midwest Dental

  • Dentist
  • Mankato, MN
  • NPI 1912212606
  NPD (past)

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457222400000",
    "number": "1871979096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N MONROE ST.",
            "city": "MINNEOTA",
            "state": "MN",
            "postal_code": "56264",
            "telephone_number": "651-686-6800",
            "fax_number": "651-686-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W PLEASANT ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560010438",
            "telephone_number": "507-345-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACK",
        "first_name": "MEGAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2016-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Jost
• Journeys Toward Healing Counseling Center LLC
• Aaron A. Juliar, CRNA
• Ignacio Jusue Torres, M.D.
• Baily Kaas, LADC
• Ronald Kahler, LP
• Kaire LLC
• Sierra Rebecca Kaisershot, CNP
• Kalina Dental
• James Joseph Kalina, DDS

• 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 6, 2016; 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.