NPIMap

Organization Active NPI

Byron Rowell PA

  • Dental Clinic/Center
  • Grand Rapids, MN
National Provider Identifier
1275797763
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
8282 Issued in MN
Legal business name
BYRON ROWELL PA
Practice address
510 NW 2ND Ave
Grand Rapids, MN 55744-2627
Phone
(218) 326-1266
Fax
(218) 326-9502
NPI assigned
Jul 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Mr. Byron G Rowell, D.D.S.NPI 1366507642
Title
Owner/Dentist
Phone
(218) 326-1266

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
Dental Clinic/Center 261QD0000X 8282 MN Primary

Addresses

Primary practice location

510 NW 2ND Ave
Grand Rapids, MN 55744-2627

Mailing address

510 NW 2ND Ave
Grand Rapids, MN 55744-2627
Phone (218) 326-1266

Other identifiers 1

IdentifierTypeStateIssuer
632317100OtherMNMN CARE

Other names 1

  • Rowell Family Dentistry Other name

National Provider Directory

National Provider Directory

Locations

510 NW 2nd Ave
Grand Rapids, MN 55744
Phone (218) 326-1266

Practitioners & affiliated clinicians

Practitioners 5

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": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1275797763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 NW 2ND AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442627",
            "telephone_number": "218-326-1266",
            "fax_number": "218-326-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 NW 2ND AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442627",
            "telephone_number": "218-326-1266",
            "fax_number": "218-326-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRON ROWELL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "ROWELL",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "218-326-1266",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "8282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN CARE",
            "identifier": "632317100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rowell Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 14, 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.