Organization Active NPI

Einerson Family Dentistry PLLC

  • Dentist
  • Alexandria, MN
National Provider Identifier
1063833630
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
EINERSON FAMILY DENTISTRY PLLC
Practice address
1400 Hawthorne St
Suite 1
Alexandria, MN 56308-4549
Phone
(320) 763-3445
NPI assigned
Dec 26, 2013
Last updated
Dec 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

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

Authorized official

Name
Mr. Lowell Everett Einerson, D.D.S.NPI 1417016866
Title
President
Phone
(320) 763-6803

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

1400 Hawthorne St
Suite 1
Alexandria, MN 56308-4549

Mailing address

1400 Hawthorne St
Suite 1
Alexandria, MN 56308-4549

National Provider Directory

National Provider Directory

Locations

1400 Hawthorne St
Ste 1
Alexandria, MN 56308
Phone (320) 763-3445

Practitioners & affiliated clinicians

Practitioners 2

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": "1388016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1063833630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HAWTHORNE ST",
            "address_2": "SUITE 1",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HAWTHORNE ST",
            "address_2": "SUITE 1",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084549",
            "telephone_number": "320-763-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EINERSON FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-26",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "EINERSON",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-763-6803",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.