Individual provider Active NPI

David Harris Kirkhoff, DDS

  • Dentist
  • New Ulm, MN
National Provider Identifier
1952964082
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D14203 Issued in MN
Practice address
127 N Broadway St
New Ulm, MN 56073-1715
Phone
(507) 233-9400
NPI assigned
Apr 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D14203 MN Primary

Addresses

Primary practice location

127 N Broadway St
New Ulm, MN 56073-1715

Mailing address

127 N Broadway St
New Ulm, MN 56073-1715
Phone (507) 233-9400

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190605001526 MN Order and Referring Only - DentistPractitioner - Dentist 6507199650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Ulm Dental Clinic Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1952964082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N BROADWAY ST",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560731715",
            "telephone_number": "507-233-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N BROADWAY ST",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560731715",
            "telephone_number": "507-233-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKHOFF",
        "first_name": "DAVID",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Ulm, MN

Sources for this page

Verify at the official NPI Registry.