DR. KENTARO ISHIKAWA DMD
NPI 1194078584
Dentist - General Practice in Chanhassen, MN

Q: What is Kentaro Ishikawa's NPI number?

The NPI number for Kentaro Ishikawa is 1194078584. It was assigned to this individual provider in the NPPES registry on October 22, 2012.

Q: What is Kentaro Ishikawa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kentaro Ishikawa was last updated on May 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.

Active since October 22, 2012PECOS Enrolled

190 LAKE DR E, STE 130, CHANHASSEN, MN 55317(920) 830-4100 Get Directions Write a Review

NPPES record last updated: May 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Kentaro Ishikawa Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENTARO ISHIKAWA DMD (NPI 1194078584) is an individual general practice provider in Chanhassen, Minnesota, licensed in Minnesota (D13971) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194078584

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KENTARO ISHIKAWACredential: DMD

Location Address190 LAKE DR E, STE 130Chanhassen, MN 55317

Mailing Address4800 Excelsior Blvd Apt 502St Louis Park, MN 55416-3064 · (734) 272-2714

Phone(920) 830-4100

Sole ProprietorYes

Enumeration DateOctober 22, 2012

Last NPPES UpdateMay 11, 2018

✔ NPI 1194078584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · D13971

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

190 LAKE DR E, Chanhassen, MN 55317

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kentaro Ishikawa Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55317 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kentaro Ishikawa's NPI number?

The NPI number for Kentaro Ishikawa is 1194078584. It was assigned to this individual provider in the NPPES registry on October 22, 2012.

Where is Kentaro Ishikawa located?

Kentaro Ishikawa practices at 190 Lake Dr E Ste 130, Chanhassen, MN 55317. The listed phone number is (920) 830-4100.

What is Kentaro Ishikawa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kentaro Ishikawa enrolled in Medicare?

Yes. Kentaro Ishikawa is registered in the Medicare PECOS enrollment system.

What insurance does Kentaro Ishikawa accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Kentaro Ishikawa 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 Kentaro Ishikawa was last updated on May 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.