Dr. John D. Gustafson, D.D.S., PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DR. JOHN D. GUSTAFSON, D.D.S., PA

Practice address

106 Third Avenue NW
Arlington, MN 55307

Phone

(507) 964-2705

Fax

(507) 964-5848

NPI assigned

Jul 17, 2012

Last updated

Jul 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John D Gustafson, DDS, PA

Title

Owner

Phone

(507) 964-2705

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jared John Gustafson, D.D.S

  • Dentist
  • Arlington, MN
  • NPI 1073806303
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1760737647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 352",
            "city": "ARLINGTON",
            "state": "MN",
            "postal_code": "55307",
            "telephone_number": "507-964-2705",
            "fax_number": "507-964-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 THIRD AVENUE NW",
            "city": "ARLINGTON",
            "state": "MN",
            "postal_code": "55307",
            "telephone_number": "507-964-2705",
            "fax_number": "507-964-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN D. GUSTAFSON, D.D.S., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-964-2705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Arlington (Arlington Ambulance Service)
• Justin Elijah Davis, D.C.
• Teresa Deeter, D.O.
• Bethany J Diehn, LPN
• Dig Gatekeepers LLC
• Forever Smiles, PLLC
• Golden Hearts, Inc.
• Jared John Gustafson, D.D.S
• Mark D Hauge, MD
• Elizabeth Hermodson-Olsen, DPT

• Dentist in Arlington, MN
• Providers in Arlington, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.