Individual provider Active NPI

Laura Marie Solyntjes, MD

  • Pediatrics Physician
  • Minnetonka, MN
National Provider Identifier
1487828216
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
556 Issued in MN
Practice address
17705 Hutchins Dr Ste 101
Minnetonka, MN 55345-4102
Phone
(952) 401-8300
Fax
(952) 401-8242
NPI assigned
Apr 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 556 MN Primary
Pediatrics Physician 208000000X AC38192365029 MO

Addresses

Primary practice location

17705 Hutchins Dr Ste 101
Minnetonka, MN 55345-4102

Mailing address

17705 Hutchins Drive
Suite 101
Minnetonka, MN 55345
Phone (952) 401-8300

Other identifiers 1

IdentifierTypeStateIssuer
AC38192365029MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130322000412 MN Practitioner - Pediatric Medicine 2961647904 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AC38192365029MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hennepin County CurrentSince May 3, 2025 Accepting new patients
Hennepin County Current Accepting new patients
Hennepin County CurrentSince May 3, 2025 Accepting new patients
South Lake Clinic, P.a. Pediatrics CurrentSince Mar 9, 2013 Accepting new patients

Locations

111 Hundertmark Rd
Ste 210
Chaska, MN 55318

1313 Penn Ave N
Minneapolis, MN 55411
Phone (612) 302-4600

17705 Hutchins Dr
Ste 250
Minnetonka, MN 55345

17705 Hutchins Dr
Ste 101
Minnetonka, MN 55345

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1487828216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17705 HUTCHINS DRIVE",
            "address_2": "SUITE 101",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "55345",
            "telephone_number": "952-401-8300",
            "fax_number": "952-401-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17705 HUTCHINS DR STE 101",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454102",
            "telephone_number": "952-401-8300",
            "fax_number": "952-401-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLYNTJES",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "556",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "AC38192365029",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AC38192365029",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.