Active NPI
Michael Scottt Ludwig, DDS
- Dentist
- Cloquet, MN
National Provider Identifier
1710101746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10672
- Practice address
- 707 Highway 33 S
Suite 7
Cloquet, MN 55720-2696 - Phone
- (218) 879-8357
- NPI assigned
- Apr 12, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 10672 | MN | Primary |
Addresses
Primary practice location
707 Highway 33 S
Suite 7
Cloquet, MN 55720-2696
Mailing address
707 Highway 33 S
Suite 7
Cloquet, MN 55720-2696
Phone (218) 879-8357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10672 | Other | MN | STATE LISCENSE |
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 |
|---|---|---|---|
| 10672 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710101746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 HIGHWAY 33 S",
"address_2": "SUITE 7",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557202696",
"telephone_number": "218-879-8357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 HIGHWAY 33 S",
"address_2": "SUITE 7",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557202696",
"telephone_number": "218-879-8357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUDWIG",
"first_name": "MICHAEL",
"middle_name": "SCOTTT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "10672",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISCENSE",
"identifier": "10672",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cloquet, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.