Active NPI
Polycarp Dental PLC
- General Practice Dentistry
- Hastings, MN
National Provider Identifier
1770138323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- POLYCARP DENTAL PLC
- Practice address
- 1465 N Frontage Rd
Hastings, MN 55033-2355 - Phone
- (651) 273-8132
- NPI assigned
- Aug 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- J Bradford Morgan
- Title
- Owner
- Phone
- (651) 273-8132
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1465 N Frontage Rd
Hastings, MN 55033-2355
Mailing address
PO Box 70887
Cleveland, OH 44190-0887
National Provider Directory
National Provider DirectoryLocations
1465 N Frontage Rd
Hastings, MN 55033
Phone (651) 273-8132
Practitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687305600000",
"number": "1770138323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70887",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441900887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 N FRONTAGE RD",
"city": "HASTINGS",
"state": "MN",
"postal_code": "550332355",
"telephone_number": "651-273-8132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POLYCARP DENTAL PLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-09",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A",
"authorized_official_last_name": "MORGAN",
"authorized_official_first_name": "J BRADFORD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "651-273-8132"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hastings, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.