NPIMap

Organization Active NPI

Waconia School District

  • Local Education Agency (LEA)
  • Waconia, MN
National Provider Identifier
1366507436
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
WACONIA SCHOOL DISTRICT
Practice address
512 Industrial Blvd
Waconia, MN 55387
Phone
(952) 368-8810
Fax
(952) 227-5545
NPI assigned
Dec 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jerry Kjergaard
Title
Superintendent
Phone
(952) 442-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X NU Primary

Addresses

Primary practice location

512 Industrial Blvd
Waconia, MN 55387

Mailing address

401 E 4TH St
Chaska, MN 55318-2081
Phone (952) 368-8810

National Provider Directory

National Provider Directory

Locations

512 Industrial Blvd
Waconia, MN 55387
Phone (952) 368-8810

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366507436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 4TH ST",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182081",
            "telephone_number": "952-368-8810",
            "fax_number": "952-227-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 INDUSTRIAL BLVD",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "55387",
            "telephone_number": "952-368-8810",
            "fax_number": "952-227-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACONIA SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KJERGAARD",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "952-442-0600"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waconia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.