Organization Active NPI

Melissa L. Hutchens DDS PA

  • General Practice Dentistry
  • Cambridge, MN
National Provider Identifier
1548334709
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D11273 Issued in MN
Legal business name
MELISSA L. HUTCHENS DDS PA
Practice address
538 Main St S
Suite 130
Cambridge, MN 55008-1614
Phone
(763) 552-1616
Fax
(763) 552-1617
NPI assigned
Nov 20, 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. Melissa Lund Hutchens, DDS
Title
President
Phone
(763) 552-1616

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D11273 MN Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D11418 MN

Addresses

Primary practice location

538 Main St S
Suite 130
Cambridge, MN 55008-1614

Mailing address

538 Main St S
Suite 130
Cambridge, MN 55008-1614
Phone (763) 552-1616

National Provider Directory

National Provider Directory

Locations

538 Main St S
Ste 130
Cambridge, MN 55008
Phone (763) 552-1616

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548334709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 MAIN ST S",
            "address_2": "SUITE 130",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081614",
            "telephone_number": "763-552-1616",
            "fax_number": "763-552-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 MAIN ST S",
            "address_2": "SUITE 130",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081614",
            "telephone_number": "763-552-1616",
            "fax_number": "763-552-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA L. HUTCHENS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUTCHENS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "LUND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-552-1616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11273",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, 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.