Active NPI
Southern Minnesota Sleep Center, PLLC
- General Practice Dentistry
- Owatonna, MN
National Provider Identifier
1003636911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SOUTHERN MINNESOTA SLEEP CENTER, PLLC
- Practice address
- 170 Landmark Dr NE Ste a
Owatonna, MN 55060-1590 - Phone
- (612) 501-1577
- NPI assigned
- Oct 15, 2024
- Last updated
- Oct 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kurt Daniel Erickson, DDS
- Title
- Dentist/Ceo
- Phone
- (612) 501-1577
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
170 Landmark Dr NE Ste a
Owatonna, MN 55060-1590
Mailing address
110 1St St N
Montgomery, MN 56069-1514
Phone (612) 501-1577
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Dentist
- Owatonna, MN
- NPI 1720468614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728950400000",
"number": "1003636911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 1ST ST N",
"city": "MONTGOMERY",
"state": "MN",
"postal_code": "560691514",
"telephone_number": "612-501-1577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 LANDMARK DR NE STE A",
"city": "OWATONNA",
"state": "MN",
"postal_code": "550601590",
"telephone_number": "612-501-1577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN MINNESOTA SLEEP CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-15",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A",
"authorized_official_last_name": "ERICKSON",
"authorized_official_first_name": "KURT",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "DENTIST/CEO",
"authorized_official_telephone_number": "612-501-1577",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owatonna, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.