Individual provider Active NPI

Rodney A Kolpin, DDS

  • General Practice Dentistry
  • Waseca, MN
National Provider Identifier
1013021526
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8537 Issued in MN
Practice address
1504 4TH St NE
Waseca, MN 56093-2721
Phone
(507) 835-1080
Fax
(507) 835-1184
NPI assigned
Aug 19, 2006
Last updated
Aug 27, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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 8537 MN Primary

Addresses

Primary practice location

1504 4TH St NE
Waseca, MN 56093-2721

Mailing address

1504 4TH St NE
Waseca, MN 56093-2721
Phone (507) 835-1080

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
8537MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Waseca Dental Care, P.L.L.C. General Practice PastSince Aug 10, 2019 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1013021526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 4TH ST NE",
            "city": "WASECA",
            "state": "MN",
            "postal_code": "560932721",
            "telephone_number": "507-835-1080",
            "fax_number": "507-835-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 4TH ST NE",
            "city": "WASECA",
            "state": "MN",
            "postal_code": "560932721",
            "telephone_number": "507-835-1080",
            "fax_number": "507-835-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLPIN",
        "first_name": "RODNEY",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "8537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waseca, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.