1. Home
  2. Directory
  3. Minnesota
  4. New Brighton
  5. Dentist
  6. NPI Profile

DR. KRISTINE MARIE GOULET D.D.S.
NPI 1417130667
Dentist in New Brighton, MN

Active since December 11, 2007PECOS Enrolled
2467 15TH ST NW, SUITE A, NEW BRIGHTON, MN 55112(651) 633-4883 Get Directions Write a Review

NPPES record last updated: September 14, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kristine Marie Goulet D.d.s. NPPES

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

DR. KRISTINE MARIE GOULET D.D.S. (NPI 1417130667) is an individual dentist in New Brighton, Minnesota, licensed in Minnesota (D12589) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417130667
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KRISTINE MARIE GOULETCredential: D.D.S.
Location Address2467 15TH ST NW, SUITE ANew Brighton, MN 55112-5596
Mailing Address2467 15th St Nw, Suite ANew Brighton, MN 55112-5596 · (651) 633-4883 · Fax (651) 633-4998
Phone(651) 633-4883
Sole ProprietorYes
Enumeration DateDecember 11, 2007
Last NPPES UpdateSeptember 14, 2009
✔ NPI 1417130667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D12589
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 019.025038 (IL)
2467 15TH ST NW, New Brighton, MN 55112
Open in Google Maps ↗

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. Kristine Marie Goulet D.d.s. 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 55112 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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEREK L GUSTAFSON DDS
Dentist (General Practice)
2467 15TH ST NW, SUITE A
NEW BRIGHTON, MN 55112
Ramsey County (651) 633-4883
DR. JEFFREY LINN BENSON D.D.S.
Dentist (General Practice)
2467 15TH ST NW, SUITE A
NEW BRIGHTON, MN 55112
Ramsey County (651) 633-4883
DR. STEVEN MICHAEL PETRY DC
Chiropractor
2467 15TH ST NW
NEW BRIGHTON, MN 55112
Ramsey County (651) 633-6212

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 Kristine Goulet's NPI number?

The NPI number for Kristine Goulet is 1417130667. It was assigned to this individual provider in the NPPES registry on December 11, 2007.

Where is Kristine Goulet located?

Kristine Goulet practices at 2467 15th St NW Suite A, New Brighton, MN 55112. The listed phone number is (651) 633-4883.

What is Kristine Goulet's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kristine Goulet enrolled in Medicare?

Yes. Kristine Goulet is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristine Goulet was last updated on September 14, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.