KURT M SUNDEEN DDS
NPI 1053361535
Dentist in St Paul, MN
About Kurt M Sundeen Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KURT M SUNDEEN DDS (NPI 1053361535) is an individual dentist in St Paul, Minnesota, licensed in Minnesota (9458) and active in the NPI registry since May 2006. He has opted out of Medicare through April 25, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kurt M Sundeen Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 25, 2016 through April 25, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kurt Sundeen's NPI number?
The NPI number for Kurt Sundeen is 1053361535. It was assigned to this individual provider in the NPPES registry on May 12, 2006.
Where is Kurt Sundeen located?
Kurt Sundeen practices at 1132 Larpenteur Ave W, St Paul, MN 55113. The listed phone number is (651) 489-0641.
What is Kurt Sundeen's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Kurt Sundeen enrolled in Medicare?
No. Kurt Sundeen has opted out of Medicare through April 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Kurt Sundeen accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kurt Sundeen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kurt Sundeen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kurt M Sundeen, DDS · NPI 1053361535
Dentist provider in St Paul, Minnesota. Individual provider, active in the CMS NPPES registry since May 12, 2006.
## Identity
- **NPI:** 1053361535 (Entity type: Individual)
- **Enumerated:** May 12, 2006
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 9458 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1132 LARPENTEUR AVE W, St Paul, MN 55113
- **Phone:** (651) 489-0641
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 25, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053361535) · Data from the CMS NPPES public registry.