Reflections Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13613 Issued in MN

Legal business name

REFLECTIONS FAMILY DENTAL

Practice address

512 Becker Ave SW
Willmar, MN 56201-3232

Phone

(320) 235-2551

NPI assigned

Sep 30, 2015

Organization subpart

No

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

Authorized official

Name

Abbie Kershner

Title

Owner

Phone

(320) 235-2551

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin R Hallstrom, DDS

  • General Practice Dentistry
  • Willmar, MN
  • NPI 1174676217
  NPD (past)

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1417327701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 BECKER AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013232",
            "telephone_number": "320-235-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 BECKER AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013232",
            "telephone_number": "320-235-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTIONS FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "KERSHNER",
        "authorized_official_first_name": "ABBIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-235-2551"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becky May Rand, LSW CADC
• Kristin S Rasmussen, PHYSICAL THERAPIST
• Madison Monica Rassat
• Nicholas Marshall Ray, D.O
• Recovery 4 Today PLLC
• Katherine Faith Reigstad, M.D.
• Mary Lynn Reigstad, CMT
• Matthew Scott Reinertson, ATC, OTC
• Rem South Central, Inc.
• Greg Lee Reuss, LADC

• General Practice Dentistry in Willmar, MN
• Providers in Willmar, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.