Organization Active NPI

Palmquist Dental PA

  • General Practice Dentistry
  • Red Wing, MN
National Provider Identifier
1639153364
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D7959 Issued in MN
Legal business name
PALMQUIST DENTAL PA
Practice address
303 W 5TH St
Red Wing, MN 55066-2521
Phone
(651) 388-4130
Fax
(651) 385-7817
NPI assigned
Dec 6, 2005
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. Roger K Palmquist, DDSNPI 1497712442
Title
Ceo
Phone
(651) 388-4130

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D7959 MN Primary

Addresses

Primary practice location

303 W 5TH St
Red Wing, MN 55066-2521

Mailing address

303 W 5TH St
Red Wing, MN 55066-2521
Phone (651) 388-4130

Other names 1

  • Roger K Palmquist DDS Other name

National Provider Directory

National Provider Directory

Locations

303 W 5th St
Red Wing, MN 55066
Phone (651) 388-4130

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": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639153364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W 5TH ST",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662521",
            "telephone_number": "651-388-4130",
            "fax_number": "651-385-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W 5TH ST",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662521",
            "telephone_number": "651-388-4130",
            "fax_number": "651-385-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMQUIST DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALMQUIST",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-388-4130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D7959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roger K Palmquist DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Red Wing, 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.