NPIMap

Organization Active NPI

Medical Arts Dental

  • General Practice Dentistry
  • Sartell, MN
National Provider Identifier
1063530194
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MEDICAL ARTS DENTAL
Practice address
165 19TH St S
Suite 101
Sartell, MN 56377-2153
Phone
(320) 253-9270
Fax
(320) 255-5413
NPI assigned
Mar 27, 2007
Last updated
Dec 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Dr. Julie Ann Nyland, DDSNPI 1003934324
Title
Owner
Phone
(320) 250-9270

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

165 19TH St S
Suite 101
Sartell, MN 56377-2153

Mailing address

165 19TH St S
Suite 101
Sartell, MN 56377-2153
Phone (320) 253-9270

National Provider Directory

National Provider Directory

Locations

165 19th St S
Ste 101
Sartell, MN 56377
Phone (320) 253-9072

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1063530194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 19TH ST S",
            "address_2": "SUITE 101",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772153",
            "telephone_number": "320-253-9270",
            "fax_number": "320-255-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 19TH ST S",
            "address_2": "SUITE 101",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772153",
            "telephone_number": "320-253-9270",
            "fax_number": "320-255-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "NYLAND",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-250-9270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.