Active NPI
Rolf E Lindquist, DDS
- General Practice Dentistry
- Grand Marais, MN
National Provider Identifier
1326191917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8749
- Practice address
- 303 E 3Rd St
Grand Marais, MN 55604-0670 - Phone
- (218) 387-2774
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8749 | MN | Primary |
Addresses
Primary practice location
303 E 3Rd St
Grand Marais, MN 55604-0670
Mailing address
PO Box 670
Grand Marais, MN 55604-0670
Phone (218) 387-2774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 373318100 | Medicaid | MN |
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 |
|---|---|---|---|
| 8749 | MN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Marais Family Dentistry | General Practice | Past | Accepting new patients |
| Alyssa a Hedstrom, D.D.S. | General Practice | 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
- Grand Marais, MN
- NPI 1326242678
-
- General Practice Dentistry
- Grand Marais, MN
- NPI 1518391010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1326191917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 670",
"city": "GRAND MARAIS",
"state": "MN",
"postal_code": "556040670",
"telephone_number": "218-387-2774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E 3RD ST",
"city": "GRAND MARAIS",
"state": "MN",
"postal_code": "556040670",
"telephone_number": "218-387-2774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDQUIST",
"first_name": "ROLF",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "8749",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373318100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Marais, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.