Blooming Prairie Dental Center, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BLOOMING PRAIRIE DENTAL CENTER, PA

Practice address

132 - 2ND Ave NE
Blooming Prairie, MN 55917

Phone

(507) 583-6613

Fax

(507) 583-2873

NPI assigned

May 25, 2022

Last updated

May 25, 2022By 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

Jeffrey Allan Schwert, DDSNPI 1881638484

Title

Owner

Phone

(507) 583-6613

Specialties & licenses 1

Addresses

Locations

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.

• Jeffrey Allen Schwert, DDS

  • Dentist
  • Blooming Prairie, MN
  • NPI 1881638484
  NPD (past) Authorized official
• Deborah Jean Lien, DDS, MBS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Blooming Prairie, MN
  • NPI 1932316247
  NPD (past)

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1790423168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 - 2ND AVE NE PO BOX 667",
            "city": "BLOOMING PRAIRIE",
            "state": "MN",
            "postal_code": "55917",
            "telephone_number": "507-583-6613",
            "fax_number": "507-583-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 - 2ND AVE NE",
            "city": "BLOOMING PRAIRIE",
            "state": "MN",
            "postal_code": "55917",
            "telephone_number": "507-583-6613",
            "fax_number": "507-583-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING PRAIRIE DENTAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "SCHWERT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-583-6613",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blooming Prairie #756
• Barb Buthe, M.S., CCC-SLP
• City of Blooming Prairie
• Chad Michael Eischens, D.C.
• Jonathan Robert Fabian, DDS
• John Michael Flor

• General Practice Dentistry in Blooming Prairie, MN
• Providers in Blooming Prairie, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.