Organization Active NPI

Pokegama Dental

  • General Practice Dentistry
  • Grand Rapids, MN
National Provider Identifier
1215614532
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
POKEGAMA DENTAL
Practice address
501 S Pokegama Ave Ste 101
Grand Rapids, MN 55744-3841
Phone
(218) 326-3231
NPI assigned
Jun 28, 2023
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Dr. Terry David Schmitt, DDSNPI 1841729472
Title
Owner/Dentist
Phone
(218) 326-3231

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

501 S Pokegama Ave Ste 101
Grand Rapids, MN 55744-3841

Mailing address

501 S Pokegama Ave Ste 101
Grand Rapids, MN 55744-3841
Phone (218) 326-3231

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1215614532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S POKEGAMA AVE STE 101",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443841",
            "telephone_number": "218-326-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S POKEGAMA AVE STE 101",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443841",
            "telephone_number": "218-326-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POKEGAMA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "SCHMITT",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "218-326-3231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.