Individual provider Active NPI

Tracy L Toft, DDS

  • Dentist
  • Stewartville, MN
National Provider Identifier
1114177995
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D12627 Issued in MN
Practice address
1901 1St Ave NE
Stewartville, MN 55976-9318
Phone
(507) 533-4719
Fax
(507) 533-4710
NPI assigned
Sep 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D4192 ID
Dentist 122300000X D12627 MN Primary

Addresses

Primary practice location

1901 1St Ave NE
Stewartville, MN 55976-9318

Mailing address

1901 1St Ave NE
Stewartville, MN 55976-9318
Phone (507) 533-4719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190103001321 MN Order and Referring Only - DentistPractitioner - Dentist 6709921562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D4192IDMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1114177995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE NE",
            "city": "STEWARTVILLE",
            "state": "MN",
            "postal_code": "559769318",
            "telephone_number": "507-533-4719",
            "fax_number": "507-533-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE NE",
            "city": "STEWARTVILLE",
            "state": "MN",
            "postal_code": "559769318",
            "telephone_number": "507-533-4719",
            "fax_number": "507-533-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOFT",
        "first_name": "TRACY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D4192",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stewartville, MN

Sources for this page

Verify at the official NPI Registry.