Wayzata Endodontics, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D11543 Issued in MN

Legal business name

WAYZATA ENDODONTICS, PA

Practice address

1015 Highway 15 S
Plaza 15
Hutchinson, MN 55350

Phone

(952) 476-0070

NPI assigned

Sep 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael John Tulkki, DDS, MS

Title

President

Phone

(952) 476-0070

Specialties & licenses 1

Addresses

Tax ID family

Wayzata Endodontics PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wayzata Endodontics PA

  • Endodontics
  • Wayzata, MN
  • NPI 1508926841
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Vincent O'Toole, DDS

  • Endodontics
  • Wayzata, MN
  • NPI 1639121494
  NPD (past)

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1285883777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CENTRAL AVE N",
            "address_2": "SUITE 303",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911206",
            "telephone_number": "952-476-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 HIGHWAY 15 S",
            "address_2": "PLAZA 15",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "55350",
            "telephone_number": "952-476-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYZATA ENDODONTICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "TULKKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-476-0070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D11543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon Douglas Walker, M.D.
• Christopher R Wallyn, DO
• Walmart Inc.
• Rachel Wangen, DT
• Jill K Warner
• Jacqueline Weiss, R.PH.
• Laura Westlund, PHARM.D.
• Celeste Dawn Wherry, D.C.
• Kristine A Whitcomb, CHW, CPRS
• Scott A Wichterman, PSYD, LP

• Dental Clinic/Center in Hutchinson, MN
• Providers in Hutchinson, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.