Tupalo, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D11602 Issued in MN

Legal business name

TUPALO, PC

Practice address

332 Minnesota St
Suite E 720
Saint Paul, MN 55101-1314

Phone

(651) 224-1192

NPI assigned

Oct 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Katherine Caroline Kottas, D.D.S.

Title

Dentist

Phone

(651) 224-1192

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin John Brown, D.D.S.

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1104990910
  NPD (past)

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1508238528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 MINNESOTA ST",
            "address_2": "SUITE E 720",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011314",
            "telephone_number": "651-224-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 MINNESOTA ST",
            "address_2": "SUITE E 720",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011314",
            "telephone_number": "651-224-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUPALO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "KOTTAS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "CAROLINE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "651-224-1192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D11602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Tuftee, LICSW
• Ramachandra Prasad Tummala, MD
• Noah James Tunney
• Elizabeth Jean Tuohy, MD
• Senia Tuominen, L.AC.
• Dana Turbes, PSY.D., L.P.
• Alicia Mary Turenne, M.D.
• Kimberly P Turinske, MD
• Mary Jane Krebs Turnbull, CNP CPNP
• Diamond Turner-Kelly

• Dental Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.