Individual provider Active NPI

Richard M Towner, D.D.S.

  • General Practice Dentistry
  • Mankato, MN
National Provider Identifier
1295995744
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D5079 Issued in MN
Practice address
309 Holly LN Ste 101
Mankato, MN 56001-6276
Phone
(507) 388-2120
Fax
(507) 388-3924
NPI assigned
Jun 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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 D5079 MN Primary

Addresses

Primary practice location

309 Holly LN Ste 101
Mankato, MN 56001-6276

Mailing address

309 Holly LN Ste 101
Mankato, MN 56001-6276
Phone (507) 388-2120

Other identifiers 1

IdentifierTypeStateIssuer
D5079OtherMNMN STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D5079MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Health Center 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": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1295995744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 HOLLY LN STE 101",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016276",
            "telephone_number": "507-388-2120",
            "fax_number": "507-388-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 HOLLY LN STE 101",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016276",
            "telephone_number": "507-388-2120",
            "fax_number": "507-388-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNER",
        "first_name": "RICHARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D5079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN STATE LICENSE",
            "identifier": "D5079",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

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