Active NPI
Dennis Lanoux
- Land Ambulance
- Stillwater, MN
National Provider Identifier
1700255973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- STS379337
- Practice address
- 617 Wilkins St W
Stillwater, MN 55082-4432 - Phone
- (651) 210-2920
- Fax
- (651) 439-7044
- NPI assigned
- Sep 17, 2015
- Last updated
- Sep 17, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | STS379337 | MN | Primary |
Addresses
Primary practice location
617 Wilkins St W
Stillwater, MN 55082-4432
Mailing address
617 Wilkins St W
Stillwater, MN 55082-4432
Phone (651) 210-2920
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| STS379337 | MN | MD | Land Ambulance |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442448000000",
"number": "1700255973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 WILKINS ST W",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550824432",
"telephone_number": "651-210-2920",
"fax_number": "651-439-7044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 WILKINS ST W",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550824432",
"telephone_number": "651-210-2920",
"fax_number": "651-439-7044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANOUX",
"first_name": "DENNIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-17",
"last_updated": "2015-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MN",
"license": "STS379337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stillwater, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.