Individual provider Active NPI

Bruce G Dumke, DDS

  • General Practice Dentistry
  • Mankato, MN
National Provider Identifier
1285610022
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10009 Issued in MN
Practice address
430 S Broad St
Mankato, MN 56001-0700
Phone
(507) 345-4259
Fax
(507) 345-4460
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10009 MN Primary

Addresses

Primary practice location

430 S Broad St
Mankato, MN 56001-0700

Mailing address

430 S Broad St
Mankato, MN 56001-0700
Phone (507) 345-4259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180214000872 MN Order and Referring Only - DentistPractitioner - Dentist 6204057300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10009MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mankato Family Dental, P.a. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285610022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S BROAD ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560010700",
            "telephone_number": "507-345-4259",
            "fax_number": "507-345-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S BROAD ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560010700",
            "telephone_number": "507-345-4259",
            "fax_number": "507-345-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMKE",
        "first_name": "BRUCE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "10009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.