Paul M Trygstad

Primary specialty

DentistTaxonomy code 122300000X

License

9087 Issued in MN

Legal business name

PAUL M TRYGSTAD

Practice address

123 Waterfront Dr
Two Harbors, MN 55616-1525

Phone

(218) 834-2354

NPI assigned

Dec 14, 2007

Last updated

Oct 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul M Trygstad, DDSNPI 1265582472

Title

Owner

Phone

(218) 834-2354

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Paul Martin Trygstad, DDS

  • Dentist
  • Two Harbors, MN
  • NPI 1265582472
  Authorized official Same address or phone

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1407039274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 WATERFRONT DR",
            "city": "TWO HARBORS",
            "state": "MN",
            "postal_code": "556161525",
            "telephone_number": "218-834-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 WATERFRONT DR",
            "city": "TWO HARBORS",
            "state": "MN",
            "postal_code": "556161525",
            "telephone_number": "218-834-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL M TRYGSTAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "TRYGSTAD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-834-2354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "9087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "389822900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Ann Nicholson
• Edwin Eugene Niemi, PSYCHOLOGIST
• North Shore Dental Limited
• Christine Mari Oliver-Kneebone, LICSW
• Lee T Olson, PHARMACIST
• Ayla Peterson
• Thomas Andrew Peterson, M.D.
• Amy Lynn Phipps-Poe, P.T.
• Heather Pipes, LPMA
• Premise Health of Minnesota Medical P C (LP Health Center-Two Harbors)

• Dentist in Two Harbors, MN
• Providers in Two Harbors, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.