Organization Active NPI

Hinckley Dental Center P. a.

  • General Practice Dentistry
  • Hinckley, MN
National Provider Identifier
1437138583
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D10854 Issued in MN
Legal business name
HINCKLEY DENTAL CENTER P. A.
Practice address
302 Fire Monument Rd
Hinckley, MN 55037-8350
Phone
(320) 384-6118
Fax
(320) 384-6832
NPI assigned
Jan 16, 2006
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. Donald John Grote, DDSNPI 1578543591
Title
President/Owner
Phone
(320) 384-6118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D8939 MN
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D10854 MN Primary

Addresses

Primary practice location

302 Fire Monument Rd
Hinckley, MN 55037-8350

Mailing address

302 Fire Monument Rd
Hinckley, MN 55037-8350
Phone (320) 384-6118

National Provider Directory

National Provider Directory

Locations

302 Fire Monument Rd
Hinckley, MN 55037
Phone (320) 384-6118

Practitioners & affiliated clinicians

Practitioners 4

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": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437138583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 FIRE MONUMENT RD",
            "city": "HINCKLEY",
            "state": "MN",
            "postal_code": "550378350",
            "telephone_number": "320-384-6118",
            "fax_number": "320-384-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 FIRE MONUMENT RD",
            "city": "HINCKLEY",
            "state": "MN",
            "postal_code": "550378350",
            "telephone_number": "320-384-6118",
            "fax_number": "320-384-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINCKLEY DENTAL CENTER P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROTE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "320-384-6118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D8939",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinckley, 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.