Organization Active NPI

Mallinger Dental PLLC

  • Dentist
  • Bloomington, MN
National Provider Identifier
1528150877
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9530 Issued in MN
Legal business name
MALLINGER DENTAL PLLC
Practice address
8900 Penn Ave So
Suite 100
Bloomington, MN 55431
Phone
(952) 881-1154
Fax
(952) 884-2055
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Delyle Mallinger, DDS
Title
Owner Dentist
Phone
(952) 881-1154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9530 MN Primary

Addresses

Primary practice location

8900 Penn Ave So
Suite 100
Bloomington, MN 55431

Mailing address

8900 Penn Ave So
Suite 100
Bloomington, MN 55431
Phone (952) 881-1154

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528150877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 PENN AVE SO",
            "address_2": "SUITE 100",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55431",
            "telephone_number": "952-881-1154",
            "fax_number": "952-884-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 PENN AVE SO",
            "address_2": "SUITE 100",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55431",
            "telephone_number": "952-881-1154",
            "fax_number": "952-884-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLINGER DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALLINGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DELYLE",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "952-881-1154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "9530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, 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.

Verify at the official NPI Registry.