Organization Active NPI

Lonsdale Family Dental Clinic

  • General Practice Dentistry
  • Lonsdale, MN
National Provider Identifier
1427260520
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LONSDALE FAMILY DENTAL CLINIC
Practice address
414 Railway St NW
Lonsdale, MN 55046-9661
Phone
(507) 744-2359
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Ross Hiner, DDS
Title
Co-Owner
Phone
(507) 744-2359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

414 Railway St NW
Lonsdale, MN 55046-9661

Mailing address

414 Railway St NW
PO Box 110
Lonsdale, MN 55046-9661
Phone (507) 744-2359

National Provider Directory

National Provider Directory

Locations

414 Railway St NW
Lonsdale, MN 55046
Phone (507) 744-2359

Practitioners & affiliated clinicians

Practitioners 3

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427260520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 RAILWAY ST NW",
            "address_2": "PO BOX 110",
            "city": "LONSDALE",
            "state": "MN",
            "postal_code": "550469661",
            "telephone_number": "507-744-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 RAILWAY ST NW",
            "city": "LONSDALE",
            "state": "MN",
            "postal_code": "550469661",
            "telephone_number": "507-744-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONSDALE FAMILY DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HINER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "507-744-2359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lonsdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.