Kaushik Mukherjee, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D15553 Issued in MN

Practice address

15701 Grove Cir N
Maple Grove, MN 55369-4490

Phone

(763) 233-3321

NPI assigned

Sep 22, 2022

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1891418158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2756 BRUNSWICK AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554161819",
            "telephone_number": "213-332-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15701 GROVE CIR N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694490",
            "telephone_number": "763-233-3321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10150 City Walk Dr Apt C",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551299270",
            "country_code": "US",
            "telephone_number": "651-289-1105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUKHERJEE",
        "first_name": "KAUSHIK",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-22",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "D15553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Papy Muamba
• Marci Marie Mueller Theisen, PSYD, CPRP, LP
• Hillary Mueller
• John Mueller
• Tamara Mukete, DPT, PT
• Elmes K Mulbah
• Marshall Chapman Mullein
• Abigail Mullen
• Rebecca Katherine Mullin, DPM
• Neil P Mulrooney, MD

• Pediatric Dentistry in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Pediatric Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.