NPIMap

Organization Active NPI

Hanson and Fonkert Dental Clinic PA

  • Dentist
  • Willmar, MN
National Provider Identifier
1750465753
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HANSON AND FONKERT DENTAL CLINIC PA
Practice address
1101 South First Street
Suite 3
Willmar, MN 56201-3595
Phone
(320) 235-2780
Fax
(320) 235-8838
NPI assigned
Oct 25, 2006
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
Ms. Tomi Jean Pirrotta
Title
Office Manager
Phone
(320) 235-2780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1101 South First Street
Suite 3
Willmar, MN 56201-3595

Mailing address

1101 South First Street
Suite 3
Willmar, MN 56201-3595
Phone (320) 235-2780

National Provider Directory

National Provider Directory

Locations

1101 1st St S
Ste 3
Willmar, MN 56201
Phone (320) 235-2780

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750465753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SOUTH FIRST STREET",
            "address_2": "SUITE 3",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013595",
            "telephone_number": "320-235-2780",
            "fax_number": "320-235-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SOUTH FIRST STREET",
            "address_2": "SUITE 3",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013595",
            "telephone_number": "320-235-2780",
            "fax_number": "320-235-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSON AND FONKERT DENTAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIRROTTA",
        "authorized_official_first_name": "TOMI",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "320-235-2780",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, 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.