Organization Active NPI

Circle Drive Dental

  • General Practice Dentistry
  • Rochester, MN
National Provider Identifier
1063789113
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D10303 Issued in MN
Legal business name
CIRCLE DRIVE DENTAL
Practice address
2633 Superior Dr NW
Suite 200
Rochester, MN 55901-8522
Phone
(507) 289-2055
Fax
(507) 424-0159
NPI assigned
Nov 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Authorized official

Name
Dr. Michael T. Sawyer, DDSNPI 1356461768
Title
Owner
Phone
(507) 289-2055

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D10303 MN Primary

Addresses

Primary practice location

2633 Superior Dr NW
Suite 200
Rochester, MN 55901-8522

Mailing address

2633 Superior Drive NW,
Suite 200
Rochester, MN 55901
Phone (507) 289-2055

National Provider Directory

National Provider Directory

Locations

2633 Superior Dr NW
Ste 200
Rochester, MN 55901
Phone (507) 289-2055

Practitioners & affiliated clinicians

Practitioners 3

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": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1063789113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 SUPERIOR DRIVE NW,",
            "address_2": "SUITE 200",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "55901",
            "telephone_number": "507-289-2055",
            "fax_number": "507-424-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 SUPERIOR DR NW",
            "address_2": "SUITE 200",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559018522",
            "telephone_number": "507-289-2055",
            "fax_number": "507-424-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE DRIVE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "SAWYER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-289-2055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.