Active NPI
Stephen L Hollenbeck, M.D.
- Family Medicine Physician
- Minnetonka, MN
National Provider Identifier
1467541789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26962
- Practice address
- 13560 Wayzata Blvd
Minnetonka, MN 55305-1850 - Phone
- (763) 257-8100
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26962 | MN | Primary |
Addresses
Primary practice location
13560 Wayzata Blvd
Minnetonka, MN 55305-1850
Mailing address
13560 Wayzata Blvd
Minnetonka, MN 55305-1850
Phone (763) 257-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26962 | MN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1467541789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13560 WAYZATA BLVD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051850",
"telephone_number": "763-257-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13560 WAYZATA BLVD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051850",
"telephone_number": "763-257-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLENBECK",
"first_name": "STEPHEN",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "26962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.