Bluestem Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BLUESTEM DENTAL PLLC

Doing business as

Bluestem Dental

Practice address

210 13TH St S
Benson, MN 56215-1821

Phone

(320) 842-4191

Fax

(320) 843-4208

NPI assigned

Aug 12, 2019

Last updated

Aug 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony James Hilleren, DDSNPI 1679791826

Title

Organizing Member

Phone

(320) 842-4191

Specialties & licenses 1

Addresses

Other names 1

• Bluestem Dental Doing business as

Locations

Practitioners 3

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.

• Anthony James Hilleren, DDS

  • General Practice Dentistry
  • Benson, MN
  • NPI 1679791826
  NPD (past) Authorized official
• Zackery Deal, DDS

  • Dentist
  • Benson, MN
  • NPI 1932992245
  NPD
• Corinne Dohman

  • General Practice Dentistry
  • Ortonville, MN
  • NPI 1275159931
  NPD (past)

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1275189607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33494 290TH AVE",
            "city": "BENSON",
            "state": "MN",
            "postal_code": "562153102",
            "telephone_number": "320-444-4033",
            "fax_number": "320-843-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 13TH ST S",
            "city": "BENSON",
            "state": "MN",
            "postal_code": "562151821",
            "telephone_number": "320-842-4191",
            "fax_number": "320-843-4208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 1st St NW",
            "address_purpose": "LOCATION",
            "city": "Ortonville",
            "state": "MN",
            "postal_code": "562781405",
            "country_code": "US",
            "telephone_number": "320-839-2596",
            "fax_number": "320-839-2154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUESTEM DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "HILLEREN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "ORGANIZING MEMBER",
        "authorized_official_telephone_number": "320-842-4191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluestem Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Auch, ADM/PHN
• Bama Inc (Clarks Rexall Drug Inc)
• Roger J Bauer, MD
• Benson Health and Rehab LLC (Benson Health and Rehab)
• Bluestem Dental, Inc.
• Vyke Breen, R.PH.
• Breens Pharmacy Inc (Breens Pharmacy)
• Nicholas Grant Cain, CNP
• Centracare Health - Benson LLC (CentraCare - Benson)

• Dentist in Benson, MN
• Providers in Benson, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.