Organization Active NPI

Peter J. Zehren D.D.S.,S.C.

  • General Practice Dentistry
  • Winona, MN
National Provider Identifier
1629167739
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D10527 Issued in MN
Legal business name
PETER J. ZEHREN D.D.S.,S.C.
Practice address
702 Mankato Ave
Winona, MN 55987-4829
Phone
(507) 457-3333
NPI assigned
Oct 12, 2006
Last updated
Jun 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Authorized official

Name
Dr. Peter J ZehrenNPI 1548419229
Title
President
Phone
(507) 457-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D10527 MN Primary

Addresses

Primary practice location

702 Mankato Ave
Winona, MN 55987-4829

Mailing address

702 Mankato Ave
Winona, MN 55987-4829

Other identifiers 1

IdentifierTypeStateIssuer
496124200OtherMNMINNESOTA CARE

National Provider Directory

National Provider Directory

Locations

702 Mankato Ave
Winona, MN 55987
Phone (507) 457-3333

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": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1629167739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 MANKATO AVE",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559874829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 MANKATO AVE",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559874829",
            "telephone_number": "507-457-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J. ZEHREN D.D.S.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "ZEHREN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-457-3333",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA CARE",
            "identifier": "496124200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.