Individual provider Active NPI

Rachel Lillian Pfahning, DDS

  • General Practice Dentistry
  • Anoka, MN
National Provider Identifier
1003590092
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D14912 Issued in MN
Practice address
736 E River Rd
Anoka, MN 55303-2828
Phone
(763) 421-4140
NPI assigned
Jun 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D14912 MN Primary

Addresses

Primary practice location

736 E River Rd
Anoka, MN 55303-2828

Mailing address

6645 169TH St W
Farmington, MN 55024-9404
Phone (218) 371-8617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D14912MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dakota Family Dentistry PLLC CurrentSince Jun 18, 2023 Accepting new patients
Jones Family Dentistry LLC PastSince Nov 24, 2025 Accepting new patients

Locations

5766 Blackshire Path
Inver Grove Heights, MN 55076
Phone (651) 457-6686

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1003590092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6645 169TH ST W",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550249404",
            "telephone_number": "218-371-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 E RIVER RD",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032828",
            "telephone_number": "763-421-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFAHNING",
        "first_name": "RACHEL",
        "middle_name": "LILLIAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anoka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.