NPIMap

Organization Active NPI

Mayo Foundation for Medical Education & Research

Doing business as Mayo Clinic Store - Compression, Mastectomy and Wigs

  • Durable Medical Equipment & Medical Supplies
  • Rochester, MN
National Provider Identifier
1033482872
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH
Doing business as
Mayo Clinic Store - Compression, Mastectomy and Wigs
Practice address
200 1St St SW Ste S148
Rochester, MN 55905-0001
Phone
(507) 284-9669
Fax
(507) 284-5080
NPI assigned
Feb 9, 2012
Last updated
Aug 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Dennis Eugene Dahlen
Title
Cfo
Phone
(507) 284-2511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

200 1St St SW Ste S148
Rochester, MN 55905-0001

Mailing address

PO Box 861019
Minneapolis, MN 55486-1019
Phone (888) 303-9354

Other names 1

  • Mayo Clinic Store - Compression, Mastectomy and Wigs Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120620000156 MN DME Supplier - Medical Supply Company 5890608285 Practice locations: Rochester, MN

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Springfield Medical Center21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Mayo Clinic
    • Durable Medical Equipment & Medical Supplies
    • Rochester, MN
    • NPI 1467622092

    Member Of

    NPD member

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Thorne Crest Retirement CenterAlbert Lea, MN, CCN 245425 Skilled nursing facility Other Mar 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1033482872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 861019",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554861019",
            "telephone_number": "888-303-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW STE S148",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-9669",
            "fax_number": "507-284-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "DAHLEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "507-284-2511"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mayo Clinic Store - Compression, Mastectomy and Wigs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.