Active NPI
DRS Mielke Baylon & Beinlich
- Pediatric Dentistry
- Stillwater, MN
National Provider Identifier
1477638294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 7329
- Legal business name
- DRS MIELKE BAYLON & BEINLICH
- Practice address
- 1809 Northwestern Ave
#100
Stillwater, MN 55082-7521 - Phone
- (651) 439-5640
- Fax
- (651) 439-9739
- NPI assigned
- Oct 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Greg Steven Beinlich, DDS MS
- Title
- Partner
- Phone
- (651) 439-5640
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 7329 | MN | Primary |
| Pediatric Dentistry | 1223P0221X | 8325 | MN | |
| Pediatric Dentistry | 1223P0221X | 10545 | MN |
Addresses
Primary practice location
1809 Northwestern Ave
#100
Stillwater, MN 55082-7521
Mailing address
1809 Northwestern Ave
#100
Stillwater, MN 55082-7521
Phone (651) 439-5640
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP53816 | Other | HEALTHPARTNERS GRP | |
| 33554300 | Other | DR PETER H MIELKE INDIVID | |
| 33678600 | Other | DR RICHARD J BAYLON INDIV | |
| 33732300 | Other | DR GREG S BEINLICH INDIVI |
National Provider Directory
National Provider DirectoryLocations
1809 Northwestern Ave S
Ste 100
Stillwater, MN 55082
Phone (651) 439-5640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1477638294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 NORTHWESTERN AVE",
"address_2": "#100",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550827521",
"telephone_number": "651-439-5640",
"fax_number": "651-439-9739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 NORTHWESTERN AVE",
"address_2": "#100",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550827521",
"telephone_number": "651-439-5640",
"fax_number": "651-439-9739"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS MIELKE BAYLON & BEINLICH",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BEINLICH",
"authorized_official_first_name": "GREG",
"authorized_official_middle_name": "STEVEN",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "651-439-5640",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS MS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "MN",
"license": "7329",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "MN",
"license": "8325",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "MN",
"license": "10545",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS GRP",
"identifier": "HP53816",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR PETER H MIELKE INDIVID",
"identifier": "33554300",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR RICHARD J BAYLON INDIV",
"identifier": "33678600",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR GREG S BEINLICH INDIVI",
"identifier": "33732300",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, 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.