Edward F Kishel Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7215 Issued in MN

Practice address

261 North Ruth Street
St Paul, MN 55119-4373

Phone

(651) 739-0711

Fax

(651) 739-2568

NPI assigned

Oct 18, 2006

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972684678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 NORTH RUTH STREET",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551194373",
            "telephone_number": "651-739-0711",
            "fax_number": "651-739-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 NORTH RUTH STREET",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551194373",
            "telephone_number": "651-739-0711",
            "fax_number": "651-739-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISHEL",
        "first_name": "EDWARD",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "7215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Lee Kirkpatrick, PT, DPT
• Eric Evan Kirksson, MD
• Kirneier Care Inc (Comforcare)
• Emily Bryant Kirschenblatt, MS LCGC
• Kirsten Schoenleber, LLC
• Travis Kishel, PT, DPT
• Robert Kistler, LMFT
• Brett Michael Kistner, PHARMD, RPH
• Rahel Kitilla
• Dawn Kittleson, OTR

• Dentist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Dentist 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.