Individual provider Active NPI

Matthew Barney Strumpf, DMD

  • Pediatric Dentistry
  • Inver Grove Heights, MN
National Provider Identifier
1629507488
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D14668 Issued in MN
Practice address
5955 Carmen Ave
Inver Grove Heights, MN 55076-4416
Phone
(651) 450-6111
NPI assigned
Jun 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 019031135 IL
Pediatric Dentistry 1223P0221X D14668 MN Primary

Addresses

Primary practice location

5955 Carmen Ave
Inver Grove Heights, MN 55076-4416

Mailing address

5955 Carmen Ave
Inver Grove Heights, MN 55076-4416
Phone (651) 450-6111

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
D14668MNMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mighty Molars Pediatric Dental PLLC Pediatric Dentistry CurrentSince Oct 22, 2023 Accepting new patients
Dakota Children'S Dentistry Pediatric Dentistry PastSince Oct 22, 2023 Accepting new patients

Locations

5955 Carmen Ave
Inver Grove Heights, MN 55076
Phone (651) 450-6111

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1629507488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 CARMEN AVE",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550764416",
            "telephone_number": "651-450-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 CARMEN AVE",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550764416",
            "telephone_number": "651-450-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUMPF",
        "first_name": "MATTHEW",
        "middle_name": "BARNEY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "019031135",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "D14668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inver Grove Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.