NPIMap

Organization Active NPI

Amanda L. Hyland D.D.S. P.a

Doing business as Hyland Dental

  • Dental Clinic/Center
  • Mankato, MN
National Provider Identifier
1780108209
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AMANDA L. HYLAND D.D.S. P.A
Doing business as
Hyland Dental
Practice address
810 Independence Dr
Mankato, MN 56001-7767
Phone
(507) 387-3249
NPI assigned
Jul 26, 2017
Last updated
Dec 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Dr. Amanda L.E. Hyland, DDSNPI 1184006181
Title
General Dentist
Phone
(507) 387-3249

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
Dental Clinic/Center 261QD0000X MN Primary

Addresses

Primary practice location

810 Independence Dr
Mankato, MN 56001-7767

Mailing address

111 Star St Ste 109
Mankato, MN 56001-4889
Phone (507) 387-3249

Other names 2

  • Hyland Dental Doing business as
  • River City Dental Care Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

111 Star St
Ste 109
Mankato, MN 56001
Phone (507) 387-3249

810 Independence Dr
Mankato, MN 56001
Phone (507) 387-3249

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": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1780108209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 STAR ST STE 109",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014889",
            "telephone_number": "507-387-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 INDEPENDENCE DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017767",
            "telephone_number": "507-387-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA L. HYLAND D.D.S. P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "HYLAND",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "L.E.",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "507-387-3249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hyland Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "River City Dental Care Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.