Organization Active NPI

Blue Earth Family Dental Inc

  • General Practice Dentistry
  • Blue Earth, MN
National Provider Identifier
1326734559
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BLUE EARTH FAMILY DENTAL INC
Doing business as
Mapleton Family Dental
Practice address
519 S Galbraith St
Blue Earth, MN 56013-2155
Phone
(507) 526-3111
NPI assigned
Apr 12, 2023
Organization subpart
Yes
Parent organization
BLUE EARTH FAMILY DENTAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Samantha Seys, DMDNPI 1003255589
Title
Dentist, Owner
Phone
(507) 526-3111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

519 S Galbraith St
Blue Earth, MN 56013-2155

Mailing address

519 S Galbraith St
Blue Earth, MN 56013-2155
Phone (507) 526-3111

Other practice location 1

102 NE Main St
Mapleton, MN 56013-5601
Phone (507) 524-3830

Other names 1

  • Mapleton Family Dental Doing business as

National Provider Directory

National Provider Directory
Part of
Blue Earth Family Dental Inc

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1326734559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S GALBRAITH ST",
            "city": "BLUE EARTH",
            "state": "MN",
            "postal_code": "560132155",
            "telephone_number": "507-526-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 S GALBRAITH ST",
            "city": "BLUE EARTH",
            "state": "MN",
            "postal_code": "560132155",
            "telephone_number": "507-526-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 NE Main St",
            "address_purpose": "LOCATION",
            "city": "Mapleton",
            "state": "MN",
            "postal_code": "560135601",
            "country_code": "US",
            "telephone_number": "507-524-3830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUE EARTH FAMILY DENTAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUE EARTH FAMILY DENTAL INC",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "SEYS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "DENTIST, OWNER",
        "authorized_official_telephone_number": "507-526-3111",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mapleton Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blue Earth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.