DR. PERRI LYNN KAULS D.D.S.
NPI 1770710972
Dentist - General Practice in Mahtomedi, MN

Active since June 15, 2009Opted out of Medicare · through Dec 14, 2027
12 LONG LAKE ROAD, NUMBER 12, MAHTOMEDI, MN 55115(651) 770-2699(651) 770-9896 Get Directions Write a Review

NPPES record last updated: June 15, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Perri Lynn Kauls D.d.s. NPPES

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

DR. PERRI LYNN KAULS D.D.S. (NPI 1770710972) is an individual general practice provider in Mahtomedi, Minnesota, licensed in Minnesota (9805) and active in the NPI registry since June 2009. She has opted out of Medicare through December 14, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1770710972
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PERRI LYNN KAULSCredential: D.D.S.
Location Address12 LONG LAKE ROAD, NUMBER 12Mahtomedi, MN 55115
Mailing Address12 Long Lake Road, Number 12Mahtomedi, MN 55115 · (651) 770-2699 · Fax (651) 770-9896
Fax(651) 770-9896
Sole ProprietorNo
Enumeration DateJune 15, 2009
NPI 1770710972 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 · 9805
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.
12 LONG LAKE ROAD, Mahtomedi, MN 55115

Other Names 1

Former Name (1)Dr. Perri Lynn Kilcoyne D.d.s.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Perri Lynn Kauls D.d.s. 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 December 14, 2015 through December 14, 2027.

Opt-Out Effective DateDecember 14, 2015
Opt-Out In Effect ThroughDecember 14, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55115 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 Perri Kauls's NPI number?

The NPI number for Perri Kauls is 1770710972. It was assigned to this individual provider in the NPPES registry on June 15, 2009. The provider is also known as Dr. Perri Lynn Kilcoyne D.D.S..

Where is Perri Kauls located?

Perri Kauls practices at 12 Long Lake Road Number 12, Mahtomedi, MN 55115. The listed phone number is (651) 770-2699.

What is Perri Kauls's specialty?

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

Is Perri Kauls enrolled in Medicare?

No. Perri Kauls has opted out of Medicare through December 14, 2027. 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.

When was this NPI record last updated?

The NPPES record for Perri Kauls was last updated on June 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.