NPIMap

Organization Active NPI

Apollo Dental Center

  • Dentist
  • Rochester, MN
National Provider Identifier
1073997029
Registry record updated Jul 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D13598 Issued in MN
Legal business name
APOLLO DENTAL CENTER
Practice address
3000 43Rd St NW
Rochester, MN 55901-5847
Phone
(507) 287-8320
Fax
(507) 281-8757
NPI assigned
Jul 18, 2015
Last updated
Jul 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2015

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

Authorized official

Name
Dr. Lois Mae Berscheid Brunn, D.D.S.NPI 1710958095
Title
Owner/Ceo
Phone
(507) 287-8320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X D13598 MN Primary

Addresses

Primary practice location

3000 43Rd St NW
Rochester, MN 55901-5847

Mailing address

3000 43Rd St NW
Rochester, MN 55901-5847
Phone (507) 287-8320

Other identifiers 1

IdentifierTypeStateIssuer
D13598OtherMNMINNESOTA BOARD OF DENTISTRY LICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Apollo Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3000 43rd St NW
Rochester, MN 55901
Phone (507) 287-8320

Practitioners & affiliated clinicians

Practitioners 1

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": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437177600000",
    "number": "1073997029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 43RD ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559015847",
            "telephone_number": "507-287-8320",
            "fax_number": "507-281-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 43RD ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559015847",
            "telephone_number": "507-287-8320",
            "fax_number": "507-281-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2015-07-18",
        "status": "A",
        "authorized_official_last_name": "BERSCHEID BRUNN",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "507-287-8320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA BOARD OF DENTISTRY LICENSE NUMBER",
            "identifier": "D13598",
            "state": "MN"
        }
    ],
    "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 Jul 18, 2015; 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.