Active NPI
Taylor Marie Weerts, DT
- Dental Therapist
- Fairmont, MN
National Provider Identifier
1073497004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Therapist
- License
- DT182
- Practice address
- 908 Albion Ave
Fairmont, MN 56031-3007 - Phone
- (507) 525-3405
- NPI assigned
- Aug 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Therapist | 125J00000X | DT182 | MN | Primary |
Addresses
Primary practice location
908 Albion Ave
Fairmont, MN 56031-3007
Mailing address
908 Albion Ave
Fairmont, MN 56031-3007
Phone (507) 525-3405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT182 | MN | MD | Dental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1073497004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 ALBION AVE",
"city": "FAIRMONT",
"state": "MN",
"postal_code": "560313007",
"telephone_number": "507-525-3405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 ALBION AVE",
"city": "FAIRMONT",
"state": "MN",
"postal_code": "560313007",
"telephone_number": "507-525-3405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEERTS",
"first_name": "TAYLOR",
"middle_name": "MARIE",
"credential": "DT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-04",
"last_updated": "2025-08-04",
"certification_date": "2025-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "125J00000X",
"taxonomy_group": "",
"desc": "Dental Therapist",
"state": "MN",
"license": "DT182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairmont, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.