Organization Active NPI

Zumbrota Dental

  • General Practice Dentistry
  • Zumbrota, MN
National Provider Identifier
1730384074
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12023 Issued in MN
Legal business name
ZUMBROTA DENTAL
Practice address
379 S Main St
Zumbrota, MN 55992-1543
Phone
(507) 732-5346
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rupam Kademani, DMDNPI 1578629648
Title
Dentist
Phone
(507) 732-5346

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D12023 MN Primary

Addresses

Primary practice location

379 S Main St
Zumbrota, MN 55992-1543

Mailing address

379 S Main St
Zumbrota, MN 55992-1543
Phone (507) 732-5346

National Provider Directory

National Provider Directory

Locations

379 S Main St
Zumbrota, MN 55992
Phone (507) 732-5346

Practitioners & affiliated clinicians

Practitioners 1

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": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730384074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 S MAIN ST",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "559921543",
            "telephone_number": "507-732-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 S MAIN ST",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "559921543",
            "telephone_number": "507-732-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZUMBROTA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KADEMANI",
        "authorized_official_first_name": "RUPAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "507-732-5346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zumbrota, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.