NPIMap

Organization Active NPI

Gregory C Pappenfus DDS PA

  • Dentist
  • St Cloud, MN
National Provider Identifier
1174781843
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6587 Issued in MN
Legal business name
GREGORY C PAPPENFUS DDS PA
Practice address
1545 Northway Drive Suite 150
St Cloud, MN 56303
Phone
(320) 252-1300
Fax
(320) 252-0275
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Dr. Gregory C Pappenfus, DDS PANPI 1659432052
Title
Dentist Owner
Phone
(320) 252-1300

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6587 MN Primary

Addresses

Primary practice location

1545 Northway Drive Suite 150
St Cloud, MN 56303

Mailing address

1545 Northway Drive Suite 150
St Cloud, MN 56303

National Provider Directory

National Provider Directory

Locations

1545 Northway Dr
Ste 150
Saint Cloud, MN 56303
Phone (320) 252-1300

Practitioners & affiliated clinicians

Practitioners 1

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": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1174781843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 NORTHWAY DRIVE SUITE 150",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "56303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 NORTHWAY DRIVE SUITE 150",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "56303",
            "telephone_number": "320-252-1300",
            "fax_number": "320-252-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY C PAPPENFUS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "PAPPENFUS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "320-252-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "6587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.