Kenneth B Weddell PLLC
NPI 1073862819 · General Practice Dentistry · Bloomington, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth B Weddell PLLC is a General Practice Dentistry organization in Bloomington, MN (NPI 1073862819).
Provider details
- NPI number
- 1073862819
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kenneth Weddell, Owner(952) 884-7706
- License
- D12619 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-09-07
- Last updated
- 2023-08-09
- Certified
- 2023-08-09
Frequently asked questions
- What is Kenneth B Weddell PLLC's NPI number?
- Kenneth B Weddell PLLC's National Provider Identifier (NPI) is 1073862819, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenneth B Weddell PLLC?
- Kenneth B Weddell PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Kenneth B Weddell PLLC located?
- Kenneth B Weddell PLLC's practice location on file with NPPES is 8900 Penn Ave S Ste 211, Bloomington, MN 55431-2068.
- What is Kenneth B Weddell PLLC's phone number?
- The practice phone number listed in the NPPES registry for Kenneth B Weddell PLLC is (952) 884-7706.
- Does Kenneth B Weddell PLLC accept Medicare?
- Kenneth B Weddell PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kenneth B Weddell PLLC?
- The authorized official listed on Kenneth B Weddell PLLC's NPPES record is Kenneth Weddell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenneth B Weddell PLLC's NPI active?
- Yes — Kenneth B Weddell PLLC's NPI (1073862819) is active in the NPPES registry as of the last update on 2023-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.