Nicholas Konrad Stokfisz, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D14608 Issued in MN

Practice address

1632 Washington St NE
Minneapolis, MN 55413-1336

Phone

(612) 789-2853

NPI assigned

Jun 23, 2021

Last updated

Jun 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: contactus@larsondental.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saint Anthony Village Dentistry

  • Dental Clinic/Center
  • St Anthony, MN
  • NPI 1528535788
  NPD (past)

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1861061889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 WASHINGTON ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 WASHINGTON ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131336",
            "telephone_number": "612-789-2853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 33rd Ave NE",
            "address_purpose": "LOCATION",
            "city": "St Anthony",
            "state": "MN",
            "postal_code": "554181539",
            "country_code": "US",
            "telephone_number": "612-789-2853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOKFISZ",
        "first_name": "NICHOLAS",
        "middle_name": "KONRAD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contactus@larsondental.net",
            "affiliation": "N",
            "address_1": "1632 Washington St NE",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554131336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael R Stoesz, M.D.
• Hilary Brooke Stoffel, PSYD
• Michelle Stoffel, MD-PHD
• Adine D Stokes, LSW
• Carmen Stokes
• Julie Elizabeth Stolarski, OT
• Ellen Stoll
• Kimberly C Stoll, PA-C
• Tracey Anise Stoll, REGISTERED NURSE
• Erik John Stoltenberg, M.D.

• Dentist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.