Individual provider Active NPI

Rebecca Tollefson, DDS

  • General Practice Dentistry
  • Sartell, MN
National Provider Identifier
1821664418
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D14562 Issued in MN
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

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
D14562MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Welch Dental Care PA CurrentSince Sep 5, 2021 Accepting new patients
Welch Dental Care PA CurrentSince Apr 28, 2024 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.

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.

Verify at the official NPI Registry.