Katherine Caroline Kottas, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11602 Issued in MN

Practice address

1905 Plaza Dr
Eagan, MN 55122-2883

Phone

(651) 686-6678

Fax

(651) 686-5504

NPI assigned

Dec 8, 2006

Last updated

Jul 8, 2007By 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

Other names 1

• Dr. Katherine Caroline Newmark Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northland Dental Partners

  dba Metro Dentalcare

  • General Practice Dentistry
  • Eagan, MN
  • NPI 1770730954
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932269388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 W 58TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554192116",
            "telephone_number": "612-866-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 PLAZA DR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222883",
            "telephone_number": "651-686-6678",
            "fax_number": "651-686-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTAS",
        "first_name": "KATHERINE",
        "middle_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "NEWMARK",
            "middle_name": "CAROLINE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dave Kocer, MPT
• Jessica Koehler
• Peter William Kohlsaat, DDS
• Elaine Strauss Korsch, LICSW
• Christina Kostopoulos, LPCC
• Julie Kristin Kovanda, CNP
• Hannah Krause
• Chad J Krawiec, ATC
• Holly Krawza, MSW
• Ashly Ellen Marie Krecklau, DC

• General Practice Dentistry in Eagan, MN
• Providers in Eagan, 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 Jul 8, 2007; 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.