Southwest Professional Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOUTHWEST PROFESSIONAL INC

Practice address

509 16TH Ave SW
Willmar, MN 56201-4118

Phone

(320) 235-7742

Fax

(320) 235-4045

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Dawn Renae Platt, OFFICE MANAGER

Title

Office Manager

Phone

(320) 235-7742

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, and the practitioner matching its NPPES authorized official.

• John Paul Iverson, DDS

  • General Practice Dentistry
  • Willmar, MN
  • NPI 1508817586
  NPD (past)
• Stephen Mark Medin, D.D.S.

  • Dentist
  • Willmar, MN
  • NPI 1801969803
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1861546855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 16TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014118",
            "telephone_number": "320-235-7742",
            "fax_number": "320-235-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 16TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014118",
            "telephone_number": "320-235-7742",
            "fax_number": "320-235-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PROFESSIONAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "PLATT",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "320-235-7742",
        "authorized_official_credential": "OFFICE MANAGER"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diann Somody
• Brice Dennis Sondrol, PHARMD
• Cassie Jean Sonstegard, LPC
• Michelle Sonstelie
• Sound Sleep Faribault, LLC
• Southwestern Minnesota Adult Mental Health Consortium
• Margo Ann Spang, LICSW
• Terry Stephen Spieker, COTA
• Stadther Chiropractic, LTD (Meridian Disc Institute)
• Whitney Stadther

• General Practice Dentistry in Willmar, MN
• Providers in Willmar, 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 21, 2008; 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.