Organization Active NPI

Stewartville Family Dentistry PLLC

  • General Practice Dentistry
  • Stewartville, MN
National Provider Identifier
1831508530
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12627 Issued in MN
Legal business name
STEWARTVILLE FAMILY DENTISTRY PLLC
Doing business as
Stewartville Family Dentistry
Practice address
1901 1St Ave NE
Suite #1
Stewartville, MN 55976-9318
Phone
(507) 533-4719
NPI assigned
Aug 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Tracy Lynn Toft, D.D.S.
Title
Member
Phone
(507) 533-4719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D12627 MN Primary

Addresses

Primary practice location

1901 1St Ave NE
Suite #1
Stewartville, MN 55976-9318

Mailing address

1901 1St Ave NE
Suite #1
Stewartville, MN 55976-9318
Phone (507) 533-4719

Other names 1

  • Stewartville Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1901 1st Ave NE
Ste 1
Stewartville, MN 55976
Phone (507) 533-4719

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1831508530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE NE",
            "address_2": "SUITE #1",
            "city": "STEWARTVILLE",
            "state": "MN",
            "postal_code": "559769318",
            "telephone_number": "507-533-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE NE",
            "address_2": "SUITE #1",
            "city": "STEWARTVILLE",
            "state": "MN",
            "postal_code": "559769318",
            "telephone_number": "507-533-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWARTVILLE FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "TOFT",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "507-533-4719",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stewartville Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stewartville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.