DR. KAIMEN OBENG DMD
NPI 1790469153
Dentist - Orthodontics and Dentofacial Orthopedics in Minneapolis, MN

Active since June 14, 2023PECOS Enrolled
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455(802) 734-4608 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2025, Jun 14, 2023 (2 updates tracked since 2023).

About Dr. Kaimen Obeng Dmd NPPES

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

DR. KAIMEN OBENG DMD (NPI 1790469153) is an individual orthodontics and dentofacial orthopedics provider in Minneapolis, Minnesota, licensed in Minnesota (R853) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fond Du Lac.

NPPES Registry Identity

NPI1790469153
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. KAIMEN OBENGCredential: DMD
Location Address515 DELAWARE ST SEMinneapolis, MN 55455-0357
Mailing Address8735 W Longview PkwyRaytown, MO 64138-4812 · (802) 734-4608
Sole ProprietorNo
Enumeration DateJune 14, 2023
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
NPI 1790469153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Licenses Licensed in MN · R853 Licensed in WI · 6001767
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
515 DELAWARE ST SE, Minneapolis, MN 55455

Secondary Practice Location 1

Location 1545 E Johnson StFond Du Lac, WI 54935-2856 · Phone (920) 924-9090

Accepted 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. Kaimen Obeng 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 55455 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 20

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

Dentist
515 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Dentist (Oral and Maxillofacial Surgery)
515 DELAWARE ST SE, 7TH FLOOR, MMHST
MINNEAPOLIS, MN 55455
Dentist
515 DELAWARE ST SE, 7TH FLOOR, MOOS TOWER
MINNEAPOLIS, MN 55455
Student in an Organized Health Care Education/Training Program
515 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Dentist (General Practice)
515 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Dentist (Prosthodontics)
515 DELAWARE ST SE, CLEFT PALATE CLINIC - 6TH FLOOR MOOS TOWER
MINNEAPOLIS, MN 55455
Dentist
515 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Dentist (Prosthodontics)
515 DELAWARE ST SE
MINNEAPOLIS, MN 55455

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 Kaimen Obeng's NPI number?

The NPI number for Kaimen Obeng is 1790469153. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Where is Kaimen Obeng located?

Kaimen Obeng practices at 515 Delaware St SE, Minneapolis, MN 55455. The listed phone number is (802) 734-4608.

What is Kaimen Obeng's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Kaimen Obeng enrolled in Medicare?

Yes. Kaimen Obeng is registered in the Medicare PECOS enrollment system.

What insurance does Kaimen Obeng accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Wisconsin, Inc. and Humana list Kaimen Obeng 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 Kaimen Obeng was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.