Active NPI
Ryan Timothy Pfundheller, D.D.S.
- Dentist
- Savage, MN
National Provider Identifier
1306218698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1001223-15
- Practice address
- 13899 Highway 13 S
Savage, MN 55378 - Phone
- (715) 832-3100
- NPI assigned
- Oct 26, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1001223-15 | WI | Primary |
Addresses
Primary practice location
13899 Highway 13 S
Savage, MN 55378
Mailing address
215 5TH Ave
Eau Claire, WI 54703-5698
Other practice location 1
1790 7th St E
Saint Paul, MN 55119-3419
Phone (651) 735-0595
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1001223-15 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan T Pfundheller DDS PLLC | Current | Accepting new patients | |
| D H C S C | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Woodbury, MN
- NPI 1053097790
-
- Dentist
- Eau Claire, WI
- NPI 1952618225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1306218698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 5TH AVE",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547035698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13899 HIGHWAY 13 S",
"city": "SAVAGE",
"state": "MN",
"postal_code": "55378",
"telephone_number": "715-832-3100"
}
],
"practiceLocations": [
{
"address_1": "1790 7th St E",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551193419",
"country_code": "US",
"telephone_number": "651-735-0595",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PFUNDHELLER",
"first_name": "RYAN",
"middle_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-26",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "1001223-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savage, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.