Katie Daniels, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12824 Issued in MN

Practice address

8960 Springbrook Dr NW Ste 150
Coon Rapids, MN 55433-5809

Phone

(763) 784-7570

NPI assigned

Jun 9, 2010

Last updated

Oct 11, 2011By 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.

• Valley Ridge Dental Arts

  dba Valley Ridge Dental

  • Preferred Provider Organization
  • Lake Elmo, MN
  • NPI 1548708225
  NPD (past) Authorized official

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1881914182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8960 SPRINGBROOK DR NW STE 150",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335809",
            "telephone_number": "651-231-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8960 SPRINGBROOK DR NW STE 150",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335809",
            "telephone_number": "763-784-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "KATIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adelle Daigle-Bjerke, CRNA
• Megan Dallas
• Joshua Campbell Dames
• Rachelle N. Damle, M.D.
• Warren H Danger, CRNA
• Jeanne Danielson, RDH
• Matthew Allen Danielson, M.D.
• Michele Darger
• Maureen Ann Daugherty, MA
• Kayla Marie Daulton, PA-C

• General Practice Dentistry in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.