Active NPI
Luce Line Family Dental PLLC
- Dental Clinic/Center
- Winsted, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- LUCE LINE FAMILY DENTAL PLLC
- Practice address
- 131 Main Ave W
Winsted, MN 55395-7873 - Phone
- (320) 583-4369
- NPI assigned
- Jul 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danielle Hahn, DDS
- Title
- President
- Phone
- (320) 583-4369
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
131 Main Ave W
Winsted, MN 55395-7873
Mailing address
PO Box 670
Winsted, MN 55395-0670
Phone (320) 583-4369
Other practice location 1
612 8th Ave
Howard Lake, MN 55349-5148
Phone (320) 583-4369
National Provider Directory
National Provider Directory- Tax ID family
- Luce Line Family Dental PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Howard Lake, MN
- NPI 1730926874
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Dental Clinic/Center
- Howard Lake, MN
- NPI 1730926874
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Chaska, MN
- NPI 1104483908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721001600000",
"number": "1821835968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 670",
"city": "WINSTED",
"state": "MN",
"postal_code": "553950670",
"telephone_number": "320-583-4369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 MAIN AVE W",
"city": "WINSTED",
"state": "MN",
"postal_code": "553957873",
"telephone_number": "320-583-4369"
}
],
"practiceLocations": [
{
"address_1": "612 8th Ave",
"address_purpose": "LOCATION",
"city": "Howard Lake",
"state": "MN",
"postal_code": "553495148",
"country_code": "US",
"telephone_number": "320-583-4369",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LUCE LINE FAMILY DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-15",
"last_updated": "2024-07-15",
"certification_date": "2024-07-14",
"status": "A",
"authorized_official_last_name": "HAHN",
"authorized_official_first_name": "DANIELLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "320-583-4369",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winsted, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.