NPIMap

Organization Active NPI

Melrose Dental Office LLC

  • General Practice Dentistry
  • Melrose, MN
National Provider Identifier
1578857587
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MELROSE DENTAL OFFICE LLC
Practice address
203 E Main St
Suite a
Melrose, MN 56352-4524
Phone
(320) 256-4267
Fax
(320) 256-4167
NPI assigned
Jun 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Dr. Ernest A Hedglin, DDS
Title
Dentist
Phone
(320) 256-4267

Specialties & licenses 1

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

Addresses

Primary practice location

203 E Main St
Suite a
Melrose, MN 56352-4524

Mailing address

203 E Main St
Suite a
Melrose, MN 56352-4524
Phone (320) 256-4267

National Provider Directory

National Provider Directory

Locations

203 Main St E
Ste A
Melrose, MN 56352
Phone (320) 256-4267

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": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1578857587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E MAIN ST",
            "address_2": "SUITE A",
            "city": "MELROSE",
            "state": "MN",
            "postal_code": "563524524",
            "telephone_number": "320-256-4267",
            "fax_number": "320-256-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E MAIN ST",
            "address_2": "SUITE A",
            "city": "MELROSE",
            "state": "MN",
            "postal_code": "563524524",
            "telephone_number": "320-256-4267",
            "fax_number": "320-256-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE DENTAL OFFICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "HEDGLIN",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "320-256-4267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.