Tonka Medical Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

069258 Issued in MN

Legal business name

TONKA MEDICAL SUPPLIES, INC.

Doing business as

Tonka Medical Supplies

Practice address

8110 Minnetonka Blvd.
St. Louis Park, MN 55426-3022

Phone

(952) 939-1171

Fax

(952) 939-0183

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Andrew Dmitruk, CFO

Title

Cfo

Phone

(612) 285-3448

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Tonka Medical Supplies Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1811082332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MINNETONKA BLVD.",
            "city": "ST. LOUIS PARK",
            "state": "MN",
            "postal_code": "554263022",
            "telephone_number": "952-939-1171",
            "fax_number": "952-939-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 MINNETONKA BLVD.",
            "city": "ST. LOUIS PARK",
            "state": "MN",
            "postal_code": "554263022",
            "telephone_number": "952-939-1171",
            "fax_number": "952-939-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONKA MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "DMITRUK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "612-285-3448",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "069258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811082332",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PROVIDER NUMBER",
            "identifier": "8200111",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PROVIDER NUMBER",
            "identifier": "8214407",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "448816400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE PROVIDER NUMBER",
            "identifier": "115818",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PROVIDER NUMBER",
            "identifier": "8200868",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "8G640TO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tonka Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jane C Tolkinen, DO
• Rachel Anne Tolkinen
• Amy Beer Tollefson, CRNA
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• Deepti Devi Torri, M.D.
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• Durable Medical Equipment & Medical Supplies in St. Louis Park, MN
• Providers in St. Louis Park, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.