Individual provider Active NPI

Mark Francis Schlaefer, DDS

  • General Practice Dentistry
  • Burnsville, MN
National Provider Identifier
1376624676
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9673 Issued in MN
Practice address
2500 County Road 42 W
Burnsville, MN 55337-6945
Phone
(952) 895-0300
Fax
(952) 895-8549
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9673 MN Primary

Addresses

Primary practice location

2500 County Road 42 W
Burnsville, MN 55337-6945

Mailing address

2201 Great Oaks Dr
Burnsville, MN 55337-8510
Phone (952) 431-7919

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376624676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 GREAT OAKS DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553378510",
            "telephone_number": "952-431-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 COUNTY ROAD 42 W",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376945",
            "telephone_number": "952-895-0300",
            "fax_number": "952-895-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLAEFER",
        "first_name": "MARK",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.