NPIMap

Organization Active NPI

Woodland Dentistry

  • Clinic/Center
  • Alexandria, MN
National Provider Identifier
1124407143
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
D13374 Issued in MN
Legal business name
WOODLAND DENTISTRY
Practice address
1301 Hawthorne St
Alexandria, MN 56308-2555
Phone
(320) 762-0279
NPI assigned
May 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Authorized official

Name
Dr. Tyler Geyen, DDSNPI 1023422078
Title
Dentist
Phone
(320) 762-0279

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
Clinic/Center 261Q00000X D13374 MN Primary

Addresses

Primary practice location

1301 Hawthorne St
Alexandria, MN 56308-2555

Mailing address

1301 Hawthorne Street
Alexandria, MN 56308

National Provider Directory

National Provider Directory

Locations

1301 Hawthorne St
Alexandria, MN 56308
Phone (320) 762-0279

Practitioners & affiliated clinicians

Practitioners 4

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": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1124407143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 HAWTHORNE STREET",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "56308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 HAWTHORNE ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082555",
            "telephone_number": "320-762-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "GEYEN",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "320-762-0279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "D13374",
            "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 May 22, 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.