NPIMap

Organization Active NPI

Hutchinson Family Dentistry, PA

  • General Practice Dentistry
  • Hutchinson, MN
National Provider Identifier
1578813358
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12279 Issued in MN
Legal business name
HUTCHINSON FAMILY DENTISTRY, PA
Practice address
36 Washington Ave W
Hutchinson, MN 55350-2440
Phone
(320) 587-2146
Fax
(320) 587-0720
NPI assigned
Sep 19, 2012
Last updated
Sep 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Dr. David Byron Mach, DDS, PHDNPI 1750408027
Title
Owner/Dentist
Phone
(320) 587-2146

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D12279 MN Primary

Addresses

Primary practice location

36 Washington Ave W
Hutchinson, MN 55350-2440

Mailing address

36 Washington Ave W
Hutchinson, MN 55350-2440
Phone (320) 587-2146

National Provider Directory

National Provider Directory

Locations

36 Washington Ave W
Hutchinson, MN 55350
Phone (320) 587-2146

Practitioners & affiliated clinicians

Practitioners 3

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": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1578813358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WASHINGTON AVE W",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553502440",
            "telephone_number": "320-587-2146",
            "fax_number": "320-587-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WASHINGTON AVE W",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553502440",
            "telephone_number": "320-587-2146",
            "fax_number": "320-587-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUTCHINSON FAMILY DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "MACH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BYRON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "320-587-2146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PHD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.