Organization Active NPI

Root River Dental, PA

  • Dental Clinic/Center
  • Stewartville, MN
National Provider Identifier
1720484496
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D45964 Issued in MN
Legal business name
ROOT RIVER DENTAL, PA
Practice address
100 2ND St SE
Stewartville, MN 55976-1288
Phone
(507) 533-7735
Fax
(507) 533-8852
NPI assigned
Nov 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Authorized official

Name
Zachary J Lechner, DDSNPI 1912292707
Title
Owner/Shareholder
Phone
(320) 493-0424

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
Dental Clinic/Center 261QD0000X D45964 MN Primary

Addresses

Primary practice location

100 2ND St SE
Stewartville, MN 55976-1288

Mailing address

PO Box 8
Stewartville, MN 55976-0008
Phone (507) 533-7735

Other identifiers 1

IdentifierTypeStateIssuer
837637000MedicaidMN

National Provider Directory

National Provider Directory

Locations

100 2nd St SE
Stewartville, MN 55976
Phone (507) 533-7735

Practitioners & affiliated clinicians

Practitioners 2

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": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1720484496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "STEWARTVILLE",
            "state": "MN",
            "postal_code": "559760008",
            "telephone_number": "507-533-7735",
            "fax_number": "507-533-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 2ND ST SE",
            "city": "STEWARTVILLE",
            "state": "MN",
            "postal_code": "559761288",
            "telephone_number": "507-533-7735",
            "fax_number": "507-533-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT RIVER DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "LECHNER",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/SHAREHOLDER",
        "authorized_official_telephone_number": "320-493-0424",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D45964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "837637000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stewartville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.