Active NPI
Rebecca Tollefson, DDS
- General Practice Dentistry
- Sartell, MN
National Provider Identifier
1821664418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D14562
- Practice address
- 151 19TH St S Ste B
Sartell, MN 56377-2104 - Phone
- (320) 229-2233
- NPI assigned
- Jun 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D14562 | MN | Primary |
Addresses
Primary practice location
151 19TH St S Ste B
Sartell, MN 56377-2104
Mailing address
151 19TH St S Ste B
Sartell, MN 56377-2104
Phone (320) 229-2233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D14562 | MN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Welch Dental Care PA | Current | Accepting new patients | |
| Welch Dental Care PA | Current | Accepting new patients |
Locations
151 19th St S
Ste B
Sartell, MN 56377
Phone (320) 229-2233
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Sartell, MN
- NPI 1003584210
-
- Dentist
- Sartell, MN
- NPI 1922854744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622678400000",
"number": "1821664418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 19TH ST S STE B",
"city": "SARTELL",
"state": "MN",
"postal_code": "563772104",
"telephone_number": "320-229-2233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 19TH ST S STE B",
"city": "SARTELL",
"state": "MN",
"postal_code": "563772104",
"telephone_number": "320-229-2233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLLEFSON",
"first_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-03",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D14562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sartell, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.