NPIMap

Organization Active NPI

Elgin Family Dentistry

  • General Practice Dentistry
  • Elgin, MN
National Provider Identifier
1659650893
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12570 Issued in MN
Legal business name
ELGIN FAMILY DENTISTRY
Practice address
124 2ND Ave SE
Elgin, MN 55932-9732
Phone
(507) 876-0127
NPI assigned
Aug 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Authorized official

Name
Dr. Julee Ann Kingsley, DDSNPI 1235390774
Title
President
Phone
(507) 876-0127

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 D12570 MN Primary

Addresses

Primary practice location

124 2ND Ave SE
Elgin, MN 55932-9732

Mailing address

124 2ND Ave SE
P.O. Box #10
Elgin, MN 55932-9732
Phone (507) 876-0127

National Provider Directory

National Provider Directory

Locations

124 2nd Ave SE
Elgin, MN 55932
Phone (507) 876-0127

Practitioners & affiliated clinicians

Practitioners 3

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": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1659650893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 2ND AVE SE",
            "address_2": "P.O. BOX #10",
            "city": "ELGIN",
            "state": "MN",
            "postal_code": "559329732",
            "telephone_number": "507-876-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 2ND AVE SE",
            "city": "ELGIN",
            "state": "MN",
            "postal_code": "559329732",
            "telephone_number": "507-876-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELGIN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "KINGSLEY",
        "authorized_official_first_name": "JULEE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-876-0127",
        "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": "D12570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.