NPIMap

Organization Active NPI

Virginia-Gilbert Family Dental P.a

  • General Practice Dentistry
  • Virginia, MN
National Provider Identifier
1518295567
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VIRGINIA-GILBERT FAMILY DENTAL P.A
Practice address
612-13TH. St. So.
Virginia, MN 55792
Phone
(218) 741-0405
Fax
(218) 741-1445
NPI assigned
Dec 3, 2009
Organization subpart
Yes
Parent organization
VIRGINIA-GILBERT FAMILY DENTAL P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Authorized official

Name
Dr. John T. Zupancic, D.D.S.
Title
Secretary - Dentist
Phone
(218) 741-0405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

612-13TH. St. So.
Virginia, MN 55792

Mailing address

612-13TH. St. So.
Virginia, MN 55792
Phone (218) 741-0405

Other names 1

  • Erickson Holbeck Dental / Gilbert Dental Service P.A. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Virginia-Gilbert Family Dental PA2 organizations share this tax ID, including this one
Part of
Virginia-Gilbert Family Dental PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1518295567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612-13TH. ST. SO.",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "55792",
            "telephone_number": "218-741-0405",
            "fax_number": "218-741-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612-13TH. ST. SO.",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "55792",
            "telephone_number": "218-741-0405",
            "fax_number": "218-741-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA-GILBERT FAMILY DENTAL P.A",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIRGINIA-GILBERT FAMILY DENTAL P.A.",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "ZUPANCIC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "SECRETARY - DENTIST",
        "authorized_official_telephone_number": "218-741-0405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erickson Holbeck Dental / Gilbert Dental Service P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Virginia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.