Dana Marie Porwoll, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D12819 Issued in MN

Practice address

1716 2ND Ave N
Sauk Rapids, MN 56379-2756

Phone

(320) 654-9999

Fax

(320) 240-2319

NPI assigned

Jun 24, 2010

Last updated

Jun 24, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christopher Mertensotto DDS, PLLC

  dba Pearl Dental

  • Dental Clinic/Center
  • Sauk Rapids, MN
  • NPI 1558612887
  NPD (past)

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1427369446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 2ND AVE N",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563792756",
            "telephone_number": "320-654-9999",
            "fax_number": "320-240-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 2ND AVE N",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563792756",
            "telephone_number": "320-654-9999",
            "fax_number": "320-240-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORWOLL",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ikran Sharif Osman
• Park Gardens
• Joy Christine Parker, CPM, LM
• Rebecca Peterson-Hall
• David Norman Peterson, DDS
• Radiant Recovery and Wellness Center
• Patricia Regnier
• April May Richardson, RN
• Ridgeview
• Ridgeview Place Assisted Living

• Dentist in Sauk Rapids, MN
• Providers in Sauk Rapids, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.