Organization Active NPI

Goodhue Family Dental Practice

  • Dentist
  • Red Wing, MN
National Provider Identifier
1386721454
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10726 Issued in MN
Legal business name
GOODHUE FAMILY DENTAL PRACTICE
Practice address
327 Bush
Red Wing, MN 55066
Phone
(651) 385-9348
Fax
(651) 385-5753
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Authorized official

Name
Dr. Kurt R. Steger, DDS
Title
Dentist/Ceo/Treasurer
Phone
(651) 385-9348

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 10726 MN Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 10678 MN
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 10726 MN
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 10678 MN

Addresses

Primary practice location

327 Bush
Red Wing, MN 55066

Mailing address

327 Bush St
Red Wing, MN 55066
Phone (651) 385-9348

National Provider Directory

National Provider Directory

Locations

327 Bush St
Red Wing, MN 55066
Phone (651) 385-9348

Practitioners & affiliated clinicians

Practitioners 2

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1386721454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 BUSH ST",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "55066",
            "telephone_number": "651-385-9348",
            "fax_number": "651-385-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 BUSH",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "55066",
            "telephone_number": "651-385-9348",
            "fax_number": "651-385-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODHUE FAMILY DENTAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "STEGER",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DENTIST/CEO/TREASURER",
        "authorized_official_telephone_number": "651-385-9348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "10726",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "10678",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MN",
            "license": "10726",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MN",
            "license": "10678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Wing, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.