NPIMap

Organization Active NPI

DRS Catton Wolseth Como & Jacobson PA

  • Dentist
  • St Cloud, MN
National Provider Identifier
1003948217
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8011 Issued in MN
Legal business name
DRS CATTON WOLSETH COMO & JACOBSON PA
Practice address
1500 Northway Drive
St Cloud, MN 56303
Phone
(320) 253-7700
Fax
(320) 253-9271
NPI assigned
Mar 12, 2007
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
Thomas H Como, DDSNPI 1225256019
Title
President
Phone
(320) 253-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 8011 MN Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 9182 MN
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 9096 MN
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 11952 MN
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 11953 MN
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 9874 MN
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 8837 MN
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 10445 MN

Addresses

Primary practice location

1500 Northway Drive
St Cloud, MN 56303

Mailing address

PO Box 1659
1500 Northway Drive
St Cloud, MN 56302-1659
Phone (320) 253-7700

Other names 1

  • Northway Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1500 Northway Dr
Saint Cloud, MN 56303
Phone (320) 253-4778

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003948217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1659",
            "address_2": "1500 NORTHWAY DRIVE",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "563021659",
            "telephone_number": "320-253-7700",
            "fax_number": "320-253-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NORTHWAY DRIVE",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "56303",
            "telephone_number": "320-253-7700",
            "fax_number": "320-253-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS CATTON WOLSETH COMO & JACOBSON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COMO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-253-7700",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "8011",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "9182",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "9096",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "11952",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "11953",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "9874",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "8837",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "10445",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northway Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Cloud, 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.