Organization Active NPI

Quale, Gilbertson & Martinka, LTD.

  • General Practice Dentistry
  • Willmar, MN
National Provider Identifier
1770500464
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8630 Issued in MN
Legal business name
QUALE, GILBERTSON & MARTINKA, LTD.
Practice address
408 Trott Ave SW
Willmar, MN 56201-3280
Phone
(320) 235-2922
Fax
(320) 231-1719
NPI assigned
Jul 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Dean Dean Quale, D.D.S.NPI 1518985688
Title
President
Phone
(320) 235-2922

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6153 MN
General Practice Dentistry 1223G0001X 7804 MN
General Practice Dentistry 1223G0001X D12448 MN
General Practice Dentistry 1223G0001X 8630 MN Primary

Addresses

Primary practice location

408 Trott Ave SW
Willmar, MN 56201-3280

Mailing address

408 Trott Ave SW
Willmar, MN 56201-3280
Phone (320) 235-2922

National Provider Directory

National Provider Directory

Locations

408 Trott Ave SW
Willmar, MN 56201
Phone (320) 235-2922

Practitioners & affiliated clinicians

Practitioners 3

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": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770500464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 TROTT AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013280",
            "telephone_number": "320-235-2922",
            "fax_number": "320-231-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 TROTT AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013280",
            "telephone_number": "320-235-2922",
            "fax_number": "320-231-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALE, GILBERTSON & MARTINKA, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUALE",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-235-2922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "6153",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "7804",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12448",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "8630",
            "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.