Active NPI
Steve M Pitcher, DDS
- General Practice Dentistry
- Saint James, MN
National Provider Identifier
1376608240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9051
- Practice address
- 506 1St Ave S
Saint James, MN 56081-1728 - Phone
- (507) 375-7272
- Fax
- (507) 375-3046
- NPI assigned
- Dec 22, 2006
- Last updated
- Jul 8, 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 | 9051 | MN | Primary |
Addresses
Primary practice location
506 1St Ave S
Saint James, MN 56081-1728
Mailing address
1103 12TH Ave N
Saint James, MN 56081-2032
Phone (507) 375-4010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 28, 2023 through Aug 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376608240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 12TH AVE N",
"city": "SAINT JAMES",
"state": "MN",
"postal_code": "560812032",
"telephone_number": "507-375-4010",
"fax_number": "507-375-3046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 1ST AVE S",
"city": "SAINT JAMES",
"state": "MN",
"postal_code": "560811728",
"telephone_number": "507-375-7272",
"fax_number": "507-375-3046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITCHER",
"first_name": "STEVE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "9051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint James, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.