NPIMap

Organization Active NPI

Granite Falls Family Dentistry

  • General Practice Dentistry
  • Granite Falls, MN
National Provider Identifier
1790088680
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8908 Issued in MN
Legal business name
GRANITE FALLS FAMILY DENTISTRY
Practice address
1265 6TH St
Granite Falls Family Dentistry
Granite Falls, MN 56241
Phone
(320) 269-6416
NPI assigned
Dec 15, 2010
Last updated
Dec 15, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
MONTEVIDEO FAMILY DENTISTRY, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
James K Zenk, D.D.S.NPI 1952492035
Title
Senior Partner
Phone
(320) 269-6416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8908 MN Primary
General Practice Dentistry 1223G0001X D10942 MN
General Practice Dentistry 1223G0001X D12332 MN

Addresses

Primary practice location

1265 6TH St
Granite Falls Family Dentistry
Granite Falls, MN 56241

Mailing address

1265 6TH St
Granite Falls Family Dentistry
Granite Falls, MN 56241
Phone (320) 269-6416

National Provider Directory

National Provider Directory
Tax ID family
Montevideo Family Dentistry PA2 organizations share this tax ID, including this one
Part of
Montevideo Family Dentistry PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1265 6th St
Granite Falls, MN 56241
Phone (320) 269-6416

Practitioners & affiliated clinicians

Practitioners 2

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": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1790088680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 6TH ST",
            "address_2": "GRANITE FALLS FAMILY DENTISTRY",
            "city": "GRANITE FALLS",
            "state": "MN",
            "postal_code": "56241",
            "telephone_number": "320-269-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 6TH ST",
            "address_2": "GRANITE FALLS FAMILY DENTISTRY",
            "city": "GRANITE FALLS",
            "state": "MN",
            "postal_code": "56241",
            "telephone_number": "320-269-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE FALLS FAMILY DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTEVIDEO FAMILY DENTISTRY, P.A.",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "ZENK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "320-269-6416",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "8908",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10942",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.