Organization Active NPI

Mainstreet Dental

  • Dentist
  • Hopkins, MN
National Provider Identifier
1528182342
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8343 Issued in MN
Legal business name
MAINSTREET DENTAL
Practice address
29 - 9TH Avenue North
Hopkins, MN 55343-8087
Phone
(952) 938-7341
Fax
(952) 938-9361
NPI assigned
Mar 19, 2007
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. William Pitt Rolfe Jr., DDSNPI 1326162520
Title
Owner Dentist
Phone
(952) 938-7341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8343 MN Primary

Addresses

Primary practice location

29 - 9TH Avenue North
Hopkins, MN 55343-8087

Mailing address

29 - 9TH Avenue North
Hopkins, MN 55343-8087
Phone (952) 938-7341

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528182342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 - 9TH AVENUE NORTH",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553438087",
            "telephone_number": "952-938-7341",
            "fax_number": "952-938-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 - 9TH AVENUE NORTH",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553438087",
            "telephone_number": "952-938-7341",
            "fax_number": "952-938-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTREET DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROLFE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PITT",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "952-938-7341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "8343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkins, 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.