Active NPI
Phillip Steven Fitch, DDS
- General Practice Dentistry
- Mankato, MN
National Provider Identifier
1669453718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D7542
- Practice address
- 224 E Washington St
Mankato, MN 56001-3541 - Phone
- (507) 345-3430
- Fax
- (507) 345-4054
- NPI assigned
- Nov 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D7542 | MN | Primary |
Addresses
Primary practice location
224 E Washington St
Mankato, MN 56001-3541
Mailing address
224 E Washington St
Mankato, MN 56001-3541
Phone (507) 345-3430
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1669453718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 E WASHINGTON ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560013541",
"telephone_number": "507-345-3430",
"fax_number": "507-345-4054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 E WASHINGTON ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560013541",
"telephone_number": "507-345-3430",
"fax_number": "507-345-4054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITCH",
"first_name": "PHILLIP",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D7542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.