NPIMap

Organization Active NPI

Cosmetic & Family Dentistry, PLLC

  • General Practice Dentistry
  • Baxter, MN
National Provider Identifier
1942611272
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9813 Issued in MN
Legal business name
COSMETIC & FAMILY DENTISTRY, PLLC
Practice address
6980 Fairview Rd
Baxter, MN 56425-7836
Phone
(218) 454-7000
Fax
(218) 829-3347
NPI assigned
May 8, 2014
Last updated
May 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kevin William Dens, DDSNPI 1639137615
Title
Owner
Phone
(218) 454-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D9813 MN Primary

Addresses

Primary practice location

6980 Fairview Rd
Baxter, MN 56425-7836

Mailing address

6980 Fairview Rd
Baxter, MN 56425-7836
Phone (218) 454-7000

National Provider Directory

National Provider Directory

Locations

6980 Fairview Rd
Baxter, MN 56425
Phone (218) 454-7000

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1942611272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6980 FAIRVIEW RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564257836",
            "telephone_number": "218-454-7000",
            "fax_number": "218-829-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6980 FAIRVIEW RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564257836",
            "telephone_number": "218-454-7000",
            "fax_number": "218-829-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC & FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "DENS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-454-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D9813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.