Grace Chalgren, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D13532 Issued in MN

Practice address

309 Holly LN
Mankato, MN 56001-5422

Phone

(218) 280-9091

NPI assigned

Jun 15, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Grace Johnson Former name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1043691041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 HOLLY LN",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015422",
            "telephone_number": "218-280-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 HOLLY LN",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015422",
            "telephone_number": "218-280-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALGREN",
        "first_name": "GRACE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "JOHNSON",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alec Cemenski, ATC
• Jennifer Leigh Ceminsky, LPCC
• Central Minnesota Senior Housing, LLC (Sunrise of Mankato)
• Allison Marie Chaffee, APRN
• Thanchanok Chaiprasit, M.D.
• Jeffrey Lee Chambers, ATC
• Thomas Everett Chambers, DNP
• Tasha Keely Charlton
• Ryan Michael Chavez, FNP-BC
• Orrie Chazin

• Dentist in Mankato, MN
• Providers in Mankato, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.