Prem Kumar, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12142 Issued in MN

Practice address

3803 Silver Lake Rd NE
Minneapolis, MN 55421-4574

Phone

(612) 782-7000

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Kanji and Savtri Inc

  • General Practice Dentistry
  • Minneapolis, MN
  • NPI 1184169153
  NPD (past) Authorized official
• Dental Services Inc

  • General Practice Dentistry
  • Big Lake, MN
  • NPI 1013069012
  NPD (past)
• Kanji and Savtri Inc

  • Dental Clinic/Center
  • Maple Grove, MN
  • NPI 1669862363
  NPD (past)
• Modern Dental Professionals MN PC

  • General Practice Dentistry
  • Big Lake, MN
  • NPI 1215307061
  NPD (past)
• Twin Cities Dental

  • General Practice Dentistry
  • Minneapolis, MN
  • NPI 1871750026
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1972656569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 FOUNTAINS DR",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697200",
            "telephone_number": "763-762-7177",
            "fax_number": "763-762-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 SILVER LAKE RD NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554214574",
            "telephone_number": "612-782-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11301 Fountains Dr",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553697200",
            "country_code": "US",
            "telephone_number": "763-762-7177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "PREM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE NUMBER",
            "identifier": "937605400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anil Kumar, M.D.
• Ashley Kumar, DNP, AGNP-C
• Davina Kumar, DMD
• Mohineesh Kumar, MD
• Neil Kumar, PHARMD
• Rashmi Kumar, M.D.
• Sacha Kumar, MD
• Vinod Kumar
• Kumka Health
• Joseph E. Kumka, MD, PHD

• General Practice Dentistry in Minneapolis, MN
• Providers in Minneapolis, 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 Mar 25, 2020; 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.