Mark I. Malterud, D.D.S., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9454 Issued in MN

Legal business name

MARK I. MALTERUD, D.D.S., P.A.

Practice address

770 Mount Curve Blvd
Saint Paul, MN 55116-1165

Phone

(651) 699-2822

Fax

(651) 699-3009

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Mark Ivan Malterud, D.D.S.,M.A.G.D.NPI 1679691273

Title

Owner

Phone

(651) 699-2822

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Ivan Malterud, D.D.S.,M.A.G.D.

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1679691273
  NPD (past) Authorized official
• Rachel Malterud, DMD

  • Dentist
  • Saint Paul, MN
  • NPI 1700401270
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841317732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 MOUNT CURVE BLVD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161165",
            "telephone_number": "651-699-2822",
            "fax_number": "651-699-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 MOUNT CURVE BLVD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161165",
            "telephone_number": "651-699-2822",
            "fax_number": "651-699-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK I. MALTERUD, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALTERUD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-699-2822",
        "authorized_official_credential": "D.D.S.,M.A.G.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariken Wogstad-Hansen, PHD, LLC
• John J Marini, MD
• Michael Lavern Maristuen, D.C.
• Mitchell Dale Maristuen, D.C
• Mark F. Lavallie, D.C.
• Susan L Mark, M.D.
• Jennifer Ann Marker Johnson, D.D.S.
• Ruth Brooke Markowitz, MA LICENSED PSYCHOLO
• Anne Marks, RN
• Anne Markus

• General Practice Dentistry in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.