Organization Active NPI

Redwood Family Dental, PLLC

  • General Practice Dentistry
  • Redwood Falls, MN
National Provider Identifier
1073128153
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
REDWOOD FAMILY DENTAL, PLLC
Practice address
200 Firewood Drive
Redwood Falls, MN 56283
Phone
(507) 637-5930
Fax
(507) 637-3226
NPI assigned
Sep 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Dr. Jacob L Stricherz, DDS
Title
Owner
Phone
(507) 637-5930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

200 Firewood Drive
Redwood Falls, MN 56283

Mailing address

200 Firewood Drive
Redwood Falls, MN 56283
Phone (507) 637-5930

National Provider Directory

National Provider Directory

Locations

200 Firewood Dr
Redwood Falls, MN 56283
Phone (507) 637-5930

Practitioners & affiliated clinicians

Practitioners 2

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": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1073128153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FIREWOOD DRIVE",
            "city": "REDWOOD FALLS",
            "state": "MN",
            "postal_code": "56283",
            "telephone_number": "507-637-5930",
            "fax_number": "507-637-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FIREWOOD DRIVE",
            "city": "REDWOOD FALLS",
            "state": "MN",
            "postal_code": "56283",
            "telephone_number": "507-637-5930",
            "fax_number": "507-637-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2023-11-02",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "STRICHERZ",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-637-5930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.