Kimberly Rostvold, DDS
NPI 1417479700 · Pediatric Dentistry · Hermantown, MN
Enrolled with Medicare as Practitioner - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly Rostvold, DDS is a Pediatric Dentistry provider in Hermantown, MN (NPI 1417479700).
Provider details
- NPI number
- 1417479700
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- D14233 (MN)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
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
Additional practice locations (5)
- 1043 E US Highway 169Grand Rapids, MN 55744-3165Phone: (218) 326-2560
- 1315 E 24th StMinneapolis, MN 55404Phone: (612) 721-9803
- 701 Park AveMinneapolis, MN 55415-1623Phone: (612) 873-3000
- 715 S 8th StMinneapolis, MN 55404-7530Phone: (612) 873-6010
- 357 S Gulph Rd Fl 1King of Prussia, PA 19406-3136Phone: (610) 337-2325Fax: (610) 337-3863
Registry dates
- Enumerated
- 2017-07-09
- Last updated
- 2025-06-16
- Certified
- 2025-06-16
Frequently asked questions
- What is Kimberly Rostvold's NPI number?
- Kimberly Rostvold's National Provider Identifier (NPI) is 1417479700, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Rostvold's specialty?
- Kimberly Rostvold is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Kimberly Rostvold located?
- Kimberly Rostvold's practice location on file with NPPES is 4419 Air Base Rd, Hermantown, MN 55811-1847.
- What is Kimberly Rostvold's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Rostvold is (218) 728-2117.
- Does Kimberly Rostvold accept Medicare?
- Kimberly Rostvold is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimberly Rostvold's NPI active?
- Yes — Kimberly Rostvold's NPI (1417479700) is active in the NPPES registry as of the last update on 2025-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.