NPIMap

Organization Active NPI

Commerce Drive Dental Group

  • General Practice Dentistry
  • North Mankato, MN
National Provider Identifier
1447337803
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COMMERCE DRIVE DENTAL GROUP
Practice address
1720 Lor Ray Dr
North Mankato, MN 56003-1942
Phone
(507) 345-7786
Fax
(507) 345-3445
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Jessica Jane Kuryla, D.D.S.NPI 1982781399
Title
Dentist
Phone
(734) 577-8650

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X MN Primary

Addresses

Primary practice location

1720 Lor Ray Dr
North Mankato, MN 56003-1942

Mailing address

2040 Commerce Dr
North Mankato, MN 56003-1809
Phone (507) 345-7786

National Provider Directory

National Provider Directory

Locations

1720 Lor Ray Dr
North Mankato, MN 56003
Phone (507) 345-7786

2040 Commerce Dr
North Mankato, MN 56003
Phone (507) 345-7786

Practitioners & affiliated clinicians

Practitioners 8

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447337803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 COMMERCE DR",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560031809",
            "telephone_number": "507-345-7786",
            "fax_number": "507-345-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 LOR RAY DR",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560031942",
            "telephone_number": "507-345-7786",
            "fax_number": "507-345-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMERCE DRIVE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KURYLA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "734-577-8650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.