Organization Active NPI

Southern Minnesota Sleep Center, PLLC

  • General Practice Dentistry
  • Albert Lea, MN
National Provider Identifier
1356161269
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SOUTHERN MINNESOTA SLEEP CENTER, PLLC
Practice address
146 W Clark St
Albert Lea, MN 56007-2546
Phone
(612) 501-1577
NPI assigned
Oct 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Kurt Daniel Erickson, DDS
Title
Dentist/Ceo
Phone
(612) 501-1577

Specialties & licenses 1

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

Addresses

Primary practice location

146 W Clark St
Albert Lea, MN 56007-2546

Mailing address

110 1St St N
Montgomery, MN 56069-1514
Phone (612) 501-1577

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1356161269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 1ST ST N",
            "city": "MONTGOMERY",
            "state": "MN",
            "postal_code": "560691514",
            "telephone_number": "612-501-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 W CLARK ST",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072546",
            "telephone_number": "612-501-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MINNESOTA SLEEP CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "DENTIST/CEO",
        "authorized_official_telephone_number": "612-501-1577",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albert Lea, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.