Individual provider Active NPI

Donald F Garon, DDS

  • General Practice Dentistry
  • Maple Grove, MN
National Provider Identifier
1538238514
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9217 Issued in MN
Practice address
6828 Hemlock LN N
Maple Grove, MN 55369-5502
Phone
(763) 424-4646
Fax
(763) 559-7392
NPI assigned
Nov 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9217 MN Primary

Addresses

Primary practice location

6828 Hemlock LN N
Maple Grove, MN 55369-5502

Mailing address

6828 Hemlock LN N
Maple Grove, MN 55369-5502
Phone (763) 424-4646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9217MNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538238514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6828 HEMLOCK LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695502",
            "telephone_number": "763-424-4646",
            "fax_number": "763-559-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6828 HEMLOCK LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553695502",
            "telephone_number": "763-424-4646",
            "fax_number": "763-559-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARON",
        "first_name": "DONALD",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.