Organization Active NPI

Hastings Dental Associates

  • General Practice Dentistry
  • Hastings, MN
National Provider Identifier
1790822690
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8822 Issued in MN
Legal business name
HASTINGS DENTAL ASSOCIATES
Practice address
106 6TH St W
Hastings, MN 55033-1801
Phone
(651) 437-9812
Fax
(651) 480-3404
NPI assigned
Jan 31, 2007
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
Ms. Brenda J Buck
Title
Treatment Coordinator
Phone
(651) 437-9812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 8822 MN Primary

Addresses

Primary practice location

106 6TH St W
Hastings, MN 55033-1801

Mailing address

106 6TH St W
Hastings, MN 55033-1801
Phone (651) 437-9812

National Provider Directory

National Provider Directory

Locations

106 6th St W
Hastings, MN 55033
Phone (651) 437-9812

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790822690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 6TH ST W",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550331801",
            "telephone_number": "651-437-9812",
            "fax_number": "651-480-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 6TH ST W",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550331801",
            "telephone_number": "651-437-9812",
            "fax_number": "651-480-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASTINGS DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "TREATMENT COORDINATOR",
        "authorized_official_telephone_number": "651-437-9812",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "8822",
            "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 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.