NPIMap

Organization Active NPI

Brenda Junnila, D.D.S.

  • General Practice Dentistry
  • Ogilvie, MN
National Provider Identifier
1003031535
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8776 Issued in MN
Legal business name
BRENDA JUNNILA, D.D.S.
Practice address
206 N Hill Ave
Ogilvie, MN 56358-4501
Phone
(320) 272-4450
Fax
(320) 272-4860
NPI assigned
Apr 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brenda M Junnila, DDSNPI 1104806934
Title
Owner
Phone
(320) 272-4450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8776 MN Primary

Addresses

Primary practice location

206 N Hill Ave
Ogilvie, MN 56358-4501

Mailing address

206 N Hill Ave
PO Box 69
Ogilvie, MN 56358-4501
Phone (320) 272-4450

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003031535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N HILL AVE",
            "address_2": "PO BOX 69",
            "city": "OGILVIE",
            "state": "MN",
            "postal_code": "563584501",
            "telephone_number": "320-272-4450",
            "fax_number": "320-272-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N HILL AVE",
            "city": "OGILVIE",
            "state": "MN",
            "postal_code": "563584501",
            "telephone_number": "320-272-4450",
            "fax_number": "320-272-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA JUNNILA, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUNNILA",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-272-4450",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "8776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogilvie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.